0002001299-23-000001.txt : 20231117 0002001299-23-000001.hdr.sgml : 20231117 20231116174955 ACCESSION NUMBER: 0002001299-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20231117 DATE AS OF CHANGE: 20231116 EFFECTIVENESS DATE: 20231117 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FCA HI - JV SPV, LLC CENTRAL INDEX KEY: 0002001299 IRS NUMBER: 933960578 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-497501 FILM NUMBER: 231415766 BUSINESS ADDRESS: STREET 1: 110 WINNERS CIRCLE N STREET 2: SUITE 100 CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-963-3823 MAIL ADDRESS: STREET 1: 110 WINNERS CIRCLE N STREET 2: SUITE 100 CITY: BRENTWOOD STATE: TN ZIP: 37027 D 1 primary_doc.xml X0708 D LIVE 0002001299 FCA HI - JV SPV, LLC 110 WINNERS CIRCLE N SUITE 100 BRENTWOOD TN TENNESSEE 37027 615-963-3823 DELAWARE None None Limited Liability Company true 2023 Matthew A. King 110 Winners Circle N Suite 100 Brentwood TN TENNESSEE 37027 Director Thomas K. Hearn III 110 Winners Circle N Suite 100 Brentwood TN TENNESSEE 37027 Director Charles (Todd) W. Johnson 110 Winners Circle N Suite 100 Brentwood TN TENNESSEE 37027 Director John R. Burch, Jr. 110 Winners Circle N Suite 100 Brentwood TN TENNESSEE 37027 Executive Officer Nancy S. Allen 110 Winners Circle N Suite 100 Brentwood TN TENNESSEE 37027 Executive Officer Andrew J. Bouldin 110 Winners Circle N Suite 100 Brentwood TN TENNESSEE 37027 Executive Officer Whitney L. Kalb 110 Winners Circle N Suite 100 Brentwood TN TENNESSEE 37027 Executive Officer James A. Patton 110 Winners Circle N Suite 100 Brentwood TN TENNESSEE 37027 Executive Officer . A. FCA Health Innovations II GP, LLC 110 Winners Circle N Suite 100 Brentwood TN TENNESSEE 37027 Executive Officer Manager Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06b 3C 3C.1 false 2023-11-01 false true true false 50000 7105000 7105000 0 false 54 0 0 0 false FCA HI - JV SPV, LLC /s/ Nancy S. Allen Nancy S. Allen Corporate Secretary of the Manager 2023-11-16