This is the Primary Document downloaded from EDGAR on 12/7/2014 6:20:06 PM EST for EFDID 5529 and Accession Number 0001011723-10-000006.
Please note that this is not the current Accession Number for this EFDId.
SEC FORM D/A
|
The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete. The reader should not assume that the information is accurate and complete.
|
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM D
Notice of Exempt Offering of Securities
|
| OMB APPROVAL |
| OMB Number: |
3235-0076 |
| Expires: |
August 31, 2015 |
| Estimated average burden |
| hours per response: |
4.00 |
|
|
1. Issuer's Identity
| CIK (Filer ID Number) |
Previous Names |
|
Entity Type |
|
0001451768
|
|
| |
Corporation |
| |
Limited Partnership |
| X |
Limited Liability Company |
| |
General Partnership |
| |
Business Trust |
| |
Other (Specify) |
|
| Name of Issuer |
| ATEL Growth Capital Fund V, LLC |
| Jurisdiction of Incorporation/Organization |
| CALIFORNIA |
| Year of Incorporation/Organization |
| |
Over Five Years Ago |
| X |
Within Last Five Years (Specify Year) |
2007 |
| |
Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
| ATEL Growth Capital Fund V, LLC |
| Street Address 1 |
Street Address 2 |
| ATEL FINANCIAL SERVICES, LLC |
600 CALIFORNIA STREET, 6TH FLOOR |
| City |
State/Province/Country |
ZIP/PostalCode |
Phone Number of Issuer |
| SAN FRANCISCO |
CA |
94108 |
415-989-8800 |
3. Related Persons
| Last Name |
First Name |
Middle Name |
| ATEL Capital Group |
NA |
| Street Address 1 |
Street Address 2 |
| 600 California Street, 6th Floor |
| City |
State/Province/Country |
ZIP/PostalCode |
| San Francisco |
CA |
94108 |
| Relationship: |
|
Executive Officer |
|
Director |
X |
Promoter |
Clarification of Response (if Necessary):
| Last Name |
First Name |
Middle Name |
| ATEL Growth Capital Partners 4, 5 and 6, LLC |
NA |
| Street Address 1 |
Street Address 2 |
| 600 California Street, 6th Floor |
| City |
State/Province/Country |
ZIP/PostalCode |
| San Francisco |
CA |
94108 |
| Relationship: |
X |
Executive Officer |
X |
Director |
X |
Promoter |
Clarification of Response (if Necessary):
Manager of Issuer
| Last Name |
First Name |
Middle Name |
| Cash |
Dean |
L. |
| Street Address 1 |
Street Address 2 |
| 600 California Street, 6th Floor |
| City |
State/Province/Country |
ZIP/PostalCode |
| San Francisco |
CA |
94108 |
| Relationship: |
X |
Executive Officer |
X |
Director |
X |
Promoter |
Clarification of Response (if Necessary):
| Last Name |
First Name |
Middle Name |
| Choksi |
Paritosh |
K. |
| Street Address 1 |
Street Address 2 |
| 600 California Street, 6th Floor |
| City |
State/Province/Country |
ZIP/PostalCode |
| San Francisco |
CA |
94108 |
| Relationship: |
X |
Executive Officer |
X |
Director |
X |
Promoter |
Clarification of Response (if Necessary):
4. Industry Group
| |
Agriculture |
|
Banking & Financial Services |
|
| |
Commercial Banking |
| |
Insurance |
| |
Investing |
| |
Investment Banking |
| |
Pooled Investment Fund |
|
|
|
Is the issuer registered as an investment company under the Investment Company Act of 1940? |
|
|
| X |
Other Banking & Financial Services |
|
| |
Business Services |
|
Energy |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health Care |
|
|
|
|
|
|
|
|
|
|
| |
Manufacturing |
|
Real Estate |
|
|
|
|
|
|
|
|
|
|
|
|
|
Retailing |
|
|
Restaurants |
|
Technology |
|
|
|
|
|
|
|
Travel |
|
|
|
|
|
| |
Tourism & Travel Services |
|
|
|
|
|
Other |
|
5. Issuer Size
| Revenue Range |
OR |
Aggregate Net Asset Value Range |
| |
No Revenues |
|
No Aggregate Net Asset Value |
| |
$1 - $1,000,000 |
|
$1 - $5,000,000 |
| |
$1,000,001 - $5,000,000 |
|
$5,000,001 - $25,000,000 |
| |
$5,000,001 - $25,000,000 |
|
$25,000,001 - $50,000,000 |
| |
$25,000,001 - $100,000,000 |
|
$50,000,001 - $100,000,000 |
| |
Over $100,000,000 |
|
Over $100,000,000 |
| X |
Decline to Disclose |
|
Decline to Disclose |
| |
Not Applicable |
|
Not Applicable |
6. Federal Exemption(s) and Exclusion(s) Claimed (select all that apply)
| |
Rule 504(b)(1) (not (i), (ii) or (iii)) |
|
Rule 505 |
| |
Rule 504 (b)(1)(i) |
X |
Rule 506 |
| |
Rule 504 (b)(1)(ii) |
|
Securities Act Section 4(5) |
| |
Rule 504 (b)(1)(iii) |
|
Investment Company Act Section 3(c) |
|
| |
Section 3(c)(1) |
|
Section 3(c)(9) |
|
| |
Section 3(c)(2) |
|
Section 3(c)(10) |
|
| |
Section 3(c)(3) |
|
Section 3(c)(11) |
|
| |
Section 3(c)(4) |
|
Section 3(c)(12) |
|
| |
Section 3(c)(5) |
|
Section 3(c)(13) |
|
| |
Section 3(c)(6) |
|
Section 3(c)(14) |
|
|
|
|
7. Type of Filing
| |
New Notice |
|
Date of First Sale |
2009-02-09 |
|
|
First Sale Yet to Occur |
| X |
Amendment |
8. Duration of Offering
| Does the Issuer intend this offering to last more than one year? |
|
|
9. Type(s) of Securities Offered (select all that apply)
| X |
Equity |
|
Pooled Investment Fund Interests |
| |
Debt |
|
Tenant-in-Common Securities |
| |
Option, Warrant or Other Right to Acquire Another Security |
|
Mineral Property Securities |
| |
Security to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire Security |
|
Other (describe) |
|
|
10. Business Combination Transaction
| Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer? |
|
|
Clarification of Response (if Necessary):
11. Minimum Investment
| Minimum investment accepted from any outside investor |
$50,000 |
USD |
12. Sales Compensation
| Recipient |
| Recipient CRD Number |
|
None |
|
| ATEL Securities Corporation |
17229 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| ATEL Securities Corporation |
17229 |
| Street Address 1 |
Street Address 2 |
| 600 California Street, 6th Floor |
| City |
State/Province/Country |
ZIP/Postal Code |
| San Francisco |
CA |
94108 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
| AZ |
| CA |
| CO |
| ID |
| MI |
| NH |
| NC |
| OR |
| UT |
| WA |
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Donald W. Fairman |
4196215 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Sigma Financial Corporation |
14303 |
| Street Address 1 |
Street Address 2 |
| 2369 Franklin Road |
| City |
State/Province/Country |
ZIP/Postal Code |
| Bloomfield Hills |
MI |
48302 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Stephanie A. Hrycyk |
1882780 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Gramercy Securities, Inc. |
8177 |
| Street Address 1 |
Street Address 2 |
| 3000 Southwest 27th Avenue |
| City |
State/Province/Country |
ZIP/Postal Code |
| Amarillo |
TX |
79109 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
| AZ |
| CA |
| CO |
| GA |
| MT |
| NM |
| OH |
| OK |
| TX |
| UT |
| WA |
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Hillel Katzeff |
1657455 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Pacific West Securities, Inc. |
6390 |
| Street Address 1 |
Street Address 2 |
| 4330 La Jolla Village Drive, Suite 330 |
| City |
State/Province/Country |
ZIP/Postal Code |
| San Diego |
CA |
92122 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Stuart M. McDowell |
1844587 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Cambridge Investment Research, Inc. |
39543 |
| Street Address 1 |
Street Address 2 |
| 69 Main Street, Suite 6 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Andover |
MA |
01810 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
| LA |
| ME |
| MD |
| MA |
| NH |
| NJ |
| NC |
| VT |
| VA |
| WV |
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| NFP Securities, Inc. |
42046 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| NFP Securities, Inc. |
42046 |
| Street Address 1 |
Street Address 2 |
| 1250 Capital of Texas Hwy S. 2-125 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Austin |
TX |
78746 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
| AL |
| AK |
| AZ |
| AR |
| CA |
| CO |
| CT |
| DE |
| DC |
| FL |
| GA |
| HI |
| ID |
| IL |
| IN |
| IA |
| KS |
| KY |
| LA |
| ME |
| MD |
| MA |
| MI |
| MN |
| MS |
| MO |
| MT |
| NE |
| NV |
| NH |
| NJ |
| NM |
| NY |
| NC |
| ND |
| OH |
| OK |
| OR |
| PA |
| RI |
| SC |
| SD |
| TN |
| TX |
| UT |
| VT |
| VA |
| WA |
| WV |
| WI |
| WY |
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| David C. Singer |
1470118 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Berthel, Fisher & Company Financial Services, Inc. |
13609 |
| Street Address 1 |
Street Address 2 |
| 2601 75th Street |
| City |
State/Province/Country |
ZIP/Postal Code |
| Kenosha |
WI |
53143 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Triad Advisors, Inc. |
25803 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Triad Advisors, Inc. |
25803 |
| Street Address 1 |
Street Address 2 |
| 5185 Peachtree Parkway |
Suite 280 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Norcross |
GA |
30092 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
| AL |
| AK |
| AZ |
| AR |
| CA |
| CO |
| CT |
| DE |
| DC |
| FL |
| GA |
| HI |
| ID |
| IL |
| IN |
| IA |
| KS |
| KY |
| LA |
| ME |
| MD |
| MA |
| MI |
| MN |
| MS |
| MO |
| MT |
| NE |
| NV |
| NH |
| NJ |
| NM |
| NY |
| NC |
| ND |
| OH |
| OK |
| OR |
| PA |
| RI |
| SC |
| SD |
| TN |
| TX |
| UT |
| VT |
| VA |
| WA |
| WV |
| WI |
| WY |
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Robert I. Kully |
3212528 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Crown Capital Securities, L.P. |
6312 |
| Street Address 1 |
Street Address 2 |
| 725 Town and Country Road, Suite 530 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Orange |
CA |
92868 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Mark B. Reinking |
1602957 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Sunset Financial Services, Inc. |
3538 |
| Street Address 1 |
Street Address 2 |
| 5900 Southwest Parkway |
Building 5, Suite 500 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Austin |
TX |
78735 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Robert A. Cannon |
2765289 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Pacific West Securities, Inc. |
6390 |
| Street Address 1 |
Street Address 2 |
| 371 NE Gilman Blvd., Suite 310 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Issaquah |
WA |
98027 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
| AL |
| AK |
| AZ |
| AR |
| CA |
| CO |
| CT |
| DE |
| DC |
| FL |
| GA |
| HI |
| ID |
| IL |
| IN |
| IA |
| KS |
| KY |
| LA |
| ME |
| MD |
| MA |
| MI |
| MN |
| MS |
| MO |
| MT |
| NE |
| NV |
| NH |
| NJ |
| NM |
| NY |
| NC |
| ND |
| OH |
| OK |
| OR |
| PA |
| RI |
| SC |
| SD |
| TN |
| TX |
| UT |
| VT |
| VA |
| WA |
| WV |
| WI |
| WY |
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Lawrence A. Olson |
2084501 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Primesolutions Securities, Inc. |
46017 |
| Street Address 1 |
Street Address 2 |
| 2551 Glenlord Road |
| City |
State/Province/Country |
ZIP/Postal Code |
| Stevensville |
MI |
49127 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Tyler L. Olsen |
4956662 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Primesolutions Securities, Inc. |
46017 |
| Street Address 1 |
Street Address 2 |
| 2551 Glenlord Road |
| City |
State/Province/Country |
ZIP/Postal Code |
| Stevensville |
MI |
49127 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Owen J. Fisher |
3132848 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Arete Wealth Management, LLC |
44856 |
| Street Address 1 |
Street Address 2 |
| 500 North Market Place Drive |
Suite 101 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Centerville |
UT |
84014 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Ryan P. Halliday |
4033864 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Arete Wealth Management, LLC |
44856 |
| Street Address 1 |
Street Address 2 |
| 500 North Market Place Drive |
Suite 101 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Centerville |
UT |
84014 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Stanley A. Shaw |
420641 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Independent Financial Group, LLC |
7717 |
| Street Address 1 |
Street Address 2 |
| 1105 Parkview Drive |
| City |
State/Province/Country |
ZIP/Postal Code |
| Oceanside |
CA |
92057 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Next Financial Group, Inc. |
46214 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Next Financial Group, Inc. |
46214 |
| Street Address 1 |
Street Address 2 |
| 2500 Wilcrest Drive |
Suite 260 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Houston |
TX |
77042 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
| AL |
| AK |
| AZ |
| AR |
| CA |
| CO |
| CT |
| DE |
| DC |
| FL |
| GA |
| HI |
| ID |
| IL |
| IN |
| IA |
| KS |
| KY |
| LA |
| ME |
| MD |
| MA |
| MI |
| MN |
| MS |
| MO |
| MT |
| NE |
| NV |
| NH |
| NJ |
| NM |
| NY |
| NC |
| ND |
| OH |
| OK |
| OR |
| PA |
| RI |
| SC |
| SD |
| TN |
| TX |
| UT |
| VT |
| VA |
| WA |
| WV |
| WI |
| WY |
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Joseph C. Roubik |
2443120 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Capital Financial Services, Inc. |
8408 |
| Street Address 1 |
Street Address 2 |
| 4402 S. 68th Street, Suite 102 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Greenfield |
WI |
53220 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Trevor A. Lastoka |
4315982 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Berthel, Fisher and Company Financial Services, Inc. |
13609 |
| Street Address 1 |
Street Address 2 |
| 542 S. Snelling Avenue, Suite 102 |
| City |
State/Province/Country |
ZIP/Postal Code |
| St. Paul |
MN |
55116 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Securities America, Inc. |
10205 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Securities America, Inc. |
10205 |
| Street Address 1 |
Street Address 2 |
| 12325 Port Grace Blvd. |
| City |
State/Province/Country |
ZIP/Postal Code |
| Lavista |
NE |
68128 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
| AL |
| AK |
| AZ |
| AR |
| CA |
| CO |
| CT |
| DE |
| DC |
| FL |
| GA |
| HI |
| ID |
| IL |
| IN |
| IA |
| KS |
| KY |
| LA |
| ME |
| MD |
| MA |
| MI |
| MN |
| MS |
| MO |
| MT |
| NE |
| NV |
| NH |
| NJ |
| NM |
| NY |
| NC |
| ND |
| OH |
| OK |
| OR |
| PA |
| RI |
| SC |
| SD |
| TN |
| TX |
| UT |
| VT |
| VA |
| WA |
| WV |
| WI |
| WY |
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Charles W. Snyder |
4577293 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Sigma Financial Corporation |
14303 |
| Street Address 1 |
Street Address 2 |
| 2201 Auburn Road, Suite B |
| City |
State/Province/Country |
ZIP/Postal Code |
| Auburn Hills |
MI |
48326 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Neil E. Vonfeldt |
2451760 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| MHA Financial Corp. |
7462 |
| Street Address 1 |
Street Address 2 |
| 1703 PGA Blvd. |
| City |
State/Province/Country |
ZIP/Postal Code |
| Melbourne |
FL |
32935 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Anthony Kubien |
4356088 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Sigma Financial Corporation |
14303 |
| Street Address 1 |
Street Address 2 |
| 2201 Auburn Road, Suite B |
| City |
State/Province/Country |
ZIP/Postal Code |
| Auburn Hills |
MI |
48326 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Richard I. Shakter |
2124985 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Equity Services, Inc. |
265 |
| Street Address 1 |
Street Address 2 |
| Two Newton Executive Park |
Suite 200 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Newton |
MA |
02462 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
| AZ |
| CA |
| CT |
| DE |
| FL |
| KY |
| ME |
| MA |
| MI |
| MN |
| NH |
| NJ |
| NY |
| NC |
| PA |
| RI |
| TX |
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Harry T. Couch |
4073942 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| WFG Investments, Inc. |
22704 |
| Street Address 1 |
Street Address 2 |
| 900 Old Dawson Village Rd. |
Suite 110 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Dawsonville |
GA |
30534 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
| CA |
| FL |
| GA |
| IL |
| IN |
| LA |
| PA |
| SC |
| TX |
| VA |
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Michael T. Kinney |
4692626 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| WFG Investments, Inc. |
22704 |
| Street Address 1 |
Street Address 2 |
| 3370 B. Annapolis Lane |
| City |
State/Province/Country |
ZIP/Postal Code |
| Plymouth |
MN |
55447 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Ronald G. Saffer |
408933 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Geneos Wealth Management, Inc. |
120894 |
| Street Address 1 |
Street Address 2 |
| 531 E. Osborn Rd. |
| City |
State/Province/Country |
ZIP/Postal Code |
| Phoenix |
AZ |
85012 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Saverio M. Martiradonna |
1986361 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Newbridge Securities Corporation |
104065 |
| Street Address 1 |
Street Address 2 |
| 1451 Cypress Creek Road |
Suite 204 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Ft. Lauderdale |
FL |
33309 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Craig E. Williams |
4444520 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Geneos Wealth Management, Inc. |
120894 |
| Street Address 1 |
Street Address 2 |
| 7665 East Windford Street |
| City |
State/Province/Country |
ZIP/Postal Code |
| Parker |
CO |
80134 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
| AZ |
| CA |
| CO |
| CT |
| GA |
| NH |
| NJ |
| NY |
| OR |
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Dilip C. Shah |
4565670 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Cambridge Legacy Securites, LLC |
103722 |
| Street Address 1 |
Street Address 2 |
| 535 West Burnell, Suite 120 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Lewisville |
TX |
75057 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Daniel A. Barnard |
2403593 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Berthel, Fisher & Company Financial Services, Inc. |
13609 |
| Street Address 1 |
Street Address 2 |
| 8563 E. San Alberto Drive |
Suite 140 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Scottsdale |
AZ |
85258 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Gene L. Fahlsing |
1285592 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Capital Financial Services, Inc. |
8408 |
| Street Address 1 |
Street Address 2 |
| 20410 Brookmont Rd. |
| City |
State/Province/Country |
ZIP/Postal Code |
| Morrison |
CO |
80465 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Robert H. Neill |
345773 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Geneos Wealth Management, Inc. |
120894 |
| Street Address 1 |
Street Address 2 |
| 1137 N. Diane Street |
| City |
State/Province/Country |
ZIP/Postal Code |
| Mesa |
AZ |
85203 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
| AZ |
| CA |
| CO |
| FL |
| ID |
| MA |
| NH |
| NM |
| NY |
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Jeffrey S. Morrison |
3200399 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Lifemark Securities Corp. |
16204 |
| Street Address 1 |
Street Address 2 |
| 10 Chadwick |
| City |
State/Province/Country |
ZIP/Postal Code |
| Livingston |
NJ |
07039 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Kala Duncan |
2206046 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| American Independent Securities Group, LLC |
135288 |
| Street Address 1 |
Street Address 2 |
| 1159 E. Iron Eagle Dr., Suite 120 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Eagle |
ID |
83616 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Ross C. Bonifield |
3074157 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Centaurus Financial, Inc. |
30833 |
| Street Address 1 |
Street Address 2 |
| 16401 N. 40th Street |
| City |
State/Province/Country |
ZIP/Postal Code |
| Phoenix |
AZ |
85032 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Dana E. Kellogg |
2496097 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Centaurus Financial, Inc. |
30833 |
| Street Address 1 |
Street Address 2 |
| 7901 Stoneridge Drive, Suite 230 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Pleasanton |
CA |
94588 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| James R. Slacke |
1531064 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Centaurus Financial, Inc. |
30833 |
| Street Address 1 |
Street Address 2 |
| 940 Saratoga Avenue, Suite 107 |
| City |
State/Province/Country |
ZIP/Postal Code |
| San Jose |
CA |
95129 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Brett F. Ewing |
2904608 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Centaurus Financial, Inc. |
30833 |
| Street Address 1 |
Street Address 2 |
| 2580 Care Drive, Suite 3 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Tallahessee |
FL |
32308 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Jason A. McGinty |
4499263 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Centaurus Financial, Inc. |
30833 |
| Street Address 1 |
Street Address 2 |
| 2300 E. Katella Avenue, Suite 200 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Anaheim |
CA |
92806 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
| Recipient |
| Recipient CRD Number |
|
None |
|
| Anthony P. Marino |
4251811 |
| (Associated) Broker or Dealer |
|
None |
|
| (Associated) Broker or Dealer CRD Number |
|
None |
|
| Sammons Securities Company, LLC |
115368 |
| Street Address 1 |
Street Address 2 |
| 8409 N. Military Trail, Suite 115 |
| City |
State/Province/Country |
ZIP/Postal Code |
| Palm Beach Gardens |
FL |
33410 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
|
13. Offering and Sales Amounts
| Total Offering Amount |
$35,000,000 |
USD |
|
| Total Amount Sold |
$18,292,880 |
USD |
| Total Remaining to be Sold |
$16,707,120 |
USD |
|
Clarification of Response (if Necessary):
14. Investors
|
|
Select if securities in the offering have been or may be sold to persons who do not qualify as accredited investors, and enter the number of such non-accredited investors who already have invested in the offering. |
|
|
Regardless of whether securities in the offering have been or may be sold to persons who do not qualify as accredited investors, enter the total number of investors who already have invested in the offering: |
|
15. Sales Commissions & Finder's Fees Expenses
Provide separately the amounts of sales commissions and finders fees expenses, if any. If the amount of an expenditure is not known, provide an estimate and check the box next to the amount.
| Sales Commissions |
$2,800,000 |
USD |
|
| Finders' Fees |
$0 |
USD |
|
Clarification of Response (if Necessary):
16. Use of Proceeds
Provide the amount of the gross proceeds of the offering that has been or is proposed to be used for payments to any of the persons required to be named as executive officers, directors or promoters in response to Item 3 above. If the amount is unknown, provide an estimate and check the box next to the amount.
Clarification of Response (if Necessary):
Signature and Submission
Please verify the information you have entered and review the Terms of Submission below before signing and clicking SUBMIT below to file this notice.
Terms of Submission
| In submitting this notice, each issuer named above is: |
- Notifying the SEC and/or each State in which this notice is filed of the offering of
securities described and undertaking to furnish them, upon written request, in the accordance with applicable
law, the information furnished to offerees.*
- Irrevocably appointing each of the Secretary of the SEC and, the Securities Administrator
or other legally designated officer of the State in which the issuer maintains its principal
place of business and any State in which this notice is filed, as its agents for service of
process, and agreeing that these persons may accept service on its behalf, of any notice,
process or pleading, and further agreeing that such service may be made by registered or
certified mail, in any Federal or state action, administrative proceeding, or arbitration
brought against it in any place subject to the jurisdiction of the United States, if the
action, proceeding or arbitration (a) arises out of any activity in connection with the
offering of securities that is the subject of this notice, and (b) is founded, directly or
indirectly, upon the provisions of: (i) the Securities Act of 1933, the Securities Exchange
Act of 1934, the Trust Indenture Act of 1939, the Investment Company Act of 1940, or the
Investment Advisers Act of 1940, or any rule or regulation under any of these statutes, or (ii)
the laws of the State in which the issuer maintains its principal place of business or any State
in which this notice is filed.
- Certifying that, if the issuer is claiming a Rule 505 exemption, the issuer is not disqualified
from relying on Rule 505 for one of the reasons stated in Rule 505(b)(2)(iii).
|
Each Issuer identified above has read this notice, knows the contents to be true, and has duly caused this notice to be signed on its behalf by the undersigned duly authorized person.
For signature, type in the signer's name or other letters or characters adopted or authorized as the signer's signature.
| Issuer |
Signature |
Name of Signer |
Title |
Date |
| ATEL Growth Capital Fund V, LLC |
/s/ Paritosh K. Choksi |
Paritosh K. Choksi |
Executive Vice President of Manager |
2010-01-21 |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
* This undertaking does not affect any limits Section 102(a) of the National Securities Markets
Improvement Act of 1996 ("NSMIA") [Pub. L. No. 104-290, 110 Stat. 3416 (Oct. 11, 1996)] imposes on the ability of States to
require information. As a result, if the securities that are the subject of this Form D are "covered securities" for purposes
of NSMIA, whether in all instances or due to the nature of the offering that is the subject of this Form D, States cannot
routinely require offering materials under this undertaking or otherwise and can require offering materials only to the
extent NSMIA permits them to do so under NSMIA's preservation of their anti-fraud authority.