This is the Primary Document downloaded from EDGAR on 3/16/2018 5:15:50 PM EST for EFDID 255969 and Accession Number 0001729447-18-000004.

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
Estimated average burden
hours per response: 4.00

1. Issuer's Identity

CIK (Filer ID Number) Previous Names
X None
Entity Type
0001729447
   Corporation
   Limited Partnership
   Limited Liability Company
   General Partnership
   Business Trust
X Other (Specify)

Delaware Statutory Trust
Name of Issuer
Healthcare Portfolio IV DST
Jurisdiction of Incorporation/Organization
DELAWARE
Year of Incorporation/Organization
   Over Five Years Ago
X Within Last Five Years (Specify Year) 2017
   Yet to Be Formed

2. Principal Place of Business and Contact Information

Name of Issuer
Healthcare Portfolio IV DST
Street Address 1 Street Address 2
2901 BUTTERFIELD ROAD
City State/Province/Country ZIP/PostalCode Phone Number of Issuer
OAK BROOK ILLINOIS 60523 (630) 218-8000

3. Related Persons

Last Name First Name Middle Name
Inland Private Capital Corporation
Street Address 1 Street Address 2
2901 Butterfield Road
City State/Province/Country ZIP/PostalCode
Oak Brook ILLINOIS 60523
Relationship:    Executive Officer    Director X Promoter

Clarification of Response (if Necessary):

Sponsor of the issuer.
Last Name First Name Middle Name
Healthcare Portfolio IV, L.L.C.
Street Address 1 Street Address 2
2901 Butterfield Road
City State/Province/Country ZIP/PostalCode
Oak Brook ILLINOIS 60523
Relationship:    Executive Officer    Director X Promoter

Clarification of Response (if Necessary):

Depositor of the Issuer.
Last Name First Name Middle Name
Healthcare Portfolio IV Exchange, L.L.C.
Street Address 1 Street Address 2
2901 Butterfield Road
City State/Province/Country ZIP/PostalCode
Oak Brook ILLINOIS 60523
Relationship:    Executive Officer    Director X Promoter

Clarification of Response (if Necessary):

Signatory Trustee of the Issuer.
Last Name First Name Middle Name
Lampi Keith
Street Address 1 Street Address 2
2901 Butterfield Road
City State/Province/Country ZIP/PostalCode
Oak Brook ILLINOIS 60523
Relationship: X Executive Officer    Director    Promoter

Clarification of Response (if Necessary):

Mr. Lampi is the President of Inland Private Capital Corporation, the Member of Healthcare Portfolio IV Exchange, L.L.C., the Signatory Trustee of Healthcare Portfolio IV DST.

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?
   Yes    No
   Other Banking & Financial Services
   Business Services
Energy
   Coal Mining
   Electric Utilities
   Energy Conservation
   Environmental Services
   Oil & Gas
   Other Energy
Health Care
   Biotechnology
   Health Insurance
   Hospitals & Physicians
   Pharmaceuticals
   Other Health Care
   Manufacturing
Real Estate
   Commercial
   Construction
   REITS & Finance
   Residential
X Other Real Estate
  
 Retailing
  
 Restaurants
Technology
   Computers
   Telecommunications
   Other Technology
Travel
   Airlines & Airports
   Lodging & Conventions
   Tourism & Travel Services
   Other Travel
  
 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 504 (b)(1)(i)
   Rule 504 (b)(1)(ii)
   Rule 504 (b)(1)(iii)
X Rule 506(b)
   Rule 506(c)
   Securities Act Section 4(a)(5)
   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)
   Section 3(c)(7)

7. Type of Filing

   New Notice Date of First Sale 2018-01-12    First Sale Yet to Occur
X Amendment

8. Duration of Offering

Does the Issuer intend this offering to last more than one year?
   Yes X No

9. Type(s) of Securities Offered (select all that apply)

   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 X Other (describe)
Beneficial interests in Delaware Statutory Trust reflecting beneficial interests in real estate.

10. Business Combination Transaction

Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer?
   Yes X No

Clarification of Response (if Necessary):

11. Minimum Investment

Minimum investment accepted from any outside investor $25,000 USD

12. Sales Compensation

Recipient
Recipient CRD Number    None
Inland Securities Corporation 15807
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Inland Securites Coporation 15807
Street Address 1 Street Address 2
2901 Butterfield Road
City State/Province/Country ZIP/Postal Code
Oak Brook ILLINOIS 60523
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ILLINOIS
Recipient
Recipient CRD Number    None
Silver Portal Capital 114290
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Silver Portal Capital 114290
Street Address 1 Street Address 2
12265 El Camino Real, STE 230
City State/Province/Country ZIP/Postal Code
San Diego CALIFORNIA 91108
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
WASHINGTON
Recipient
Recipient CRD Number    None
Stacey J. Morimoto 4420782
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
DFPG Investments, Inc. 155576
Street Address 1 Street Address 2
4901 Morena Blvd., STE 121
City State/Province/Country ZIP/Postal Code
San Diego CALIFORNIA 92117
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
William S. Sheehan 2328314
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
DFPG Investments, Inc. 155576
Street Address 1 Street Address 2
2 Orr Hatch Drive
City State/Province/Country ZIP/Postal Code
Conrwall NEW YORK 12518
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
NEW YORK
VIRGINIA
Recipient
Recipient CRD Number    None
Eric A. Bicknese 2829451
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Nationwide Planning Associates 31029
Street Address 1 Street Address 2
440 Park Avenue South, 3rd Floor
City State/Province/Country ZIP/Postal Code
New York NEW YORK 10016
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
NEW YORK
Recipient
Recipient CRD Number    None
Nathaniel M. Kuhn 4324143
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Concorde Investment Services, LLC 151604
Street Address 1 Street Address 2
120 W. Eastman, STE 300
City State/Province/Country ZIP/Postal Code
Arlington Heights ILLINOIS 60004
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ILLINOIS
Recipient
Recipient CRD Number    None
Jason A. Salmon 6081963
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Wealthforge Securites, LLC 152550
Street Address 1 Street Address 2
104 West 40th Street, 5th Floor
City State/Province/Country ZIP/Postal Code
New York NEW YORK 10018
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
NEW YORK
VERMONT
Recipient
Recipient CRD Number    None
Mark O. Commbe 2733655
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
1st Global Capital Corp. 30349
Street Address 1 Street Address 2
260 Country Club Rd., STE 100
City State/Province/Country ZIP/Postal Code
Eugene OREGON 43220
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
OREGON
Recipient
Recipient CRD Number    None
Larry D. Queen 851743
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Cambridge Investment Research, Inc. 39543
Street Address 1 Street Address 2
4656 Executive Drive, ST 100
City State/Province/Country ZIP/Postal Code
Columbus OHIO 43220
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
OHIO
Recipient
Recipient CRD Number    None
David B. Levinson 705929
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Westpark Capital, Inc. 39914
Street Address 1 Street Address 2
18872 MacArthur Blvd., 1st Floor
City State/Province/Country ZIP/Postal Code
Irvine CALIFORNIA 92612
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
MICHIGAN
Recipient
Recipient CRD Number    None
Daniel L. Whittenburg 218920
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Lincoln Financial Advisors Corporation 3978
Street Address 1 Street Address 2
111 South Main, STE 310
City State/Province/Country ZIP/Postal Code
Salt Lake City UTAH 84111
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
MONTANA
Recipient
Recipient CRD Number    None
Chay T. Lapin 6275140
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Wealthforge Securities, LLC 152550
Street Address 1 Street Address 2
819 North Harbor Drive, STE 400
City State/Province/Country ZIP/Postal Code
Redondo Beach CALIFORNIA 90277
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
David W. Toetz 1379388
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Independence Capital Co., Inc. 24723
Street Address 1 Street Address 2
5579 Pearl Road, STE 100
City State/Province/Country ZIP/Postal Code
Parma OHIO 44129
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
OHIO
Recipient
Recipient CRD Number    None
Jason P. Connolly 4708924
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
DFPG Investments, Inc. 155576
Street Address 1 Street Address 2
1764 The Alameda
City State/Province/Country ZIP/Postal Code
San Jose CALIFORNIA 95126
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
Darren P. Speight 5347461
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
DFPG Investments, Inc. 155576
Street Address 1 Street Address 2
1764 The Alameda
City State/Province/Country ZIP/Postal Code
San Jose CALIFORNIA 95126
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
David C. Gossling 2545451
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Lincoln Financial Advisors Corporation 3978
Street Address 1 Street Address 2
4900 N. Scottsdale Road, STE 3700
City State/Province/Country ZIP/Postal Code
Scottsdale ARIZONA 85251
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ARIZONA
Recipient
Recipient CRD Number    None
Kathleen M. Williams-Price 2450125
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Lowell & Company, Inc. 24913
Street Address 1 Street Address 2
4021 84th Street, STE 100
City State/Province/Country ZIP/Postal Code
Lubbock TEXAS 79423
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
OKLAHOMA
Recipient
Recipient CRD Number    None
Steven P. Lichtblau 1384239
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Tirad Advisors LLC 25803
Street Address 1 Street Address 2
7373 N. Scottsdale Road, STE A-102
City State/Province/Country ZIP/Postal Code
Scottsdale ARIZONA 85253
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ARIZONA
Recipient
Recipient CRD Number    None
David J. Mercer 6698392
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Colorado Financial Service Corporation 104343
Street Address 1 Street Address 2
4020 East Saint Joseph Way
City State/Province/Country ZIP/Postal Code
Phoenix ARIZONA 85018
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
Christina S. Nielson 4866971
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Primex 29394
Street Address 1 Street Address 2
650 Town Center Drive, STE 1400
City State/Province/Country ZIP/Postal Code
Costa Mesa CALIFORNIA 92626
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
HAWAII
NEW YORK
PENNSYLVANIA
WASHINGTON
Recipient
Recipient CRD Number    None
Robert S. Hamm 1548704
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Triad Advisors LLC 25803
Street Address 1 Street Address 2
5155 Peachtree Parkway, STE 320
City State/Province/Country ZIP/Postal Code
Norcoss GEORGIA 30092
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
WASHINGTON
Recipient
Recipient CRD Number    None
Adam J. Starr 5009294
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Voya Financial Advisors, Inc. 2882
Street Address 1 Street Address 2
105 East Liberty Street, STE 300
City State/Province/Country ZIP/Postal Code
Wooster OHIO 44691
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
OHIO
Recipient
Recipient CRD Number    None
Michael S. Cullen 1222982
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Sagepoint Financial, Inc. 133763
Street Address 1 Street Address 2
90 New Montgomery, STE 1020
City State/Province/Country ZIP/Postal Code
San Francisco CALIFORNIA 94105
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
Harry A. Horn 1031140
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Lincoln Financial Advisors Corporation 3978
Street Address 1 Street Address 2
1447 York Road, STE 801
City State/Province/Country ZIP/Postal Code
Lutherville MARYLAND 21093
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
MARYLAND
Recipient
Recipient CRD Number    None
Leslie P. Furlong 6642597
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Colorado Financial Service Corporation 104343
Street Address 1 Street Address 2
5090 N. Fruit Ave, #102
City State/Province/Country ZIP/Postal Code
Fresno CALIFORNIA 93711
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
David P. Dahill 6581024
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Wealthforge Securities, LLC 152550
Street Address 1 Street Address 2
109 E. 10th Street, STE 300
City State/Province/Country ZIP/Postal Code
Austin TEXAS 78701
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
COLORADO
OHIO
Recipient
Recipient CRD Number    None
Vincient R. Bailey Sr. 1845517
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Berthel, Fisher & Company Financial Services, Inc. 130609
Street Address 1 Street Address 2
22 S. Fourth Street, STE A-1
City State/Province/Country ZIP/Postal Code
Geneva ILLINOIS 60134
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
FLORIDA
Recipient
Recipient CRD Number    None
Karen Y. Holmes 2935201
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
1s Global Capital Corp. 30349
Street Address 1 Street Address 2
1700 Rockville Pike, STE 400
City State/Province/Country ZIP/Postal Code
Rockville MARYLAND 20852
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
VIRGINIA
Recipient
Recipient CRD Number    None
Tae C. Kim 5637680
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Woodbury Financial Services, Inc. 421
Street Address 1 Street Address 2
4400 College Blvd., STE 350
City State/Province/Country ZIP/Postal Code
Overland Park KANSAS 66211
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
MISSOURI
Recipient
Recipient CRD Number    None
Jonathan J. Twidwell 5723365
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Woodbury Financial Services, Inc. 421
Street Address 1 Street Address 2
4400 College Blvd., STE 350
City State/Province/Country ZIP/Postal Code
Overland Park KANSAS 66211
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
MISSOURI
Recipient
Recipient CRD Number    None
Delio E. Londono 2695744
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Sagepoint Financial Inc. 133763
Street Address 1 Street Address 2
2953 Honolulu Ave, STE #9
City State/Province/Country ZIP/Postal Code
La Crescenta CALIFORNIA 91214
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
Mitchal D. O'Hare 4561108
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Cambridge Investment Research, Inc. 39543
Street Address 1 Street Address 2
515 S. Howes St.
City State/Province/Country ZIP/Postal Code
Fort Collins COLORADO 80521
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
NEBRASKA
Recipient
Recipient CRD Number    None
Sigrid A. Daugaard 5481583
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Cambride Investment Research, Inc. 39543
Street Address 1 Street Address 2
515 S. Howes St.
City State/Province/Country ZIP/Postal Code
Fort Collins COLORADO 80521
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
NEBRASKA
Recipient
Recipient CRD Number    None
Peter A. Finnegan 1336798
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Huntwicke Securities, LLC 146993
Street Address 1 Street Address 2
65 Washington Street
City State/Province/Country ZIP/Postal Code
Hanover MASSACHUSETTS 02339
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
MASSACHUSETTS
Recipient
Recipient CRD Number    None
Brian D. Vosberg 4476509
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Centaurus Financial, Inc. 30833
Street Address 1 Street Address 2
715 W. Foothill Blvd.
City State/Province/Country ZIP/Postal Code
Glendora CALIFORNIA 91741
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
Daniel J. Luke 432453
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Cedar Crest Advisors, LLC 187514
Street Address 1 Street Address 2
9017 S. Riverside Drive, STE 210
City State/Province/Country ZIP/Postal Code
Sandy UTAH 84070
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
UTAH
Recipient
Recipient CRD Number    None
Greg L. Bernhardt 703622
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
NPB Financial Group, LLC 137743
Street Address 1 Street Address 2
212 N. California Blvd., STE #290
City State/Province/Country ZIP/Postal Code
Walnut Creek CALIFORNIA 94596
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
John P. Harvey Jr. 4227692
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Sandlapper Securities, LLC 137906
Street Address 1 Street Address 2
1 City Boulevard West, STE 870
City State/Province/Country ZIP/Postal Code
Orange CALIFORNIA 92868
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
John G. Chess 4812430
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Investacorp 7684
Street Address 1 Street Address 2
4263 Gavin Lane
City State/Province/Country ZIP/Postal Code
Columbus OHIO 43220
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
OHIO
Recipient
Recipient CRD Number    None
Robert S. Smith 1412333
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Conocrde Investment Services, LLC 151604
Street Address 1 Street Address 2
5000 Meadows Road, STE 230
City State/Province/Country ZIP/Postal Code
Lake Oswego OREGON 97035
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
OREGON
Recipient
Recipient CRD Number    None
Jeffrey L. Bangerter 1687028
(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
7777 Greenback Lane, STE 206
City State/Province/Country ZIP/Postal Code
Citrus Heights CALIFORNIA 95610
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
Corbin S. Thomas 4234748
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
McDermott Investment Services, LLC 154926
Street Address 1 Street Address 2
101 Main Street, STE 260
City State/Province/Country ZIP/Postal Code
Huntington Beach CALIFORNIA 92648
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
Michael M. Busch 2193637
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Woodbury Financial Services, Inc. 421
Street Address 1 Street Address 2
62 Lake Ave, S STE F
City State/Province/Country ZIP/Postal Code
Nesconset NEW YORK 11767
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
NEW YORK
Recipient
Recipient CRD Number    None
Richard T. Miller 4099093
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
HD Vest Investment Services 13686
Street Address 1 Street Address 2
65 W. 18th Street
City State/Province/Country ZIP/Postal Code
Wilmington DELAWARE 19802
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
DELAWARE
Recipient
Recipient CRD Number    None
Salvatore Francis Agnello 4180547
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Woodbury Financial Services, Inc. 421
Street Address 1 Street Address 2
18 West Carver Street, STE 2
City State/Province/Country ZIP/Postal Code
Huntington NEW YORK 11743
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
NEW YORK
Recipient
Recipient CRD Number    None
Robert R. Sick 2831521
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
HD Vest Investment Services 13686
Street Address 1 Street Address 2
100 Austin Plaza, STE 4
City State/Province/Country ZIP/Postal Code
Patchogue NEW YORK 11772
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
MAINE
Recipient
Recipient CRD Number    None
Darrin J. Shallcross Sr. 4925393
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Lincoln Financial Advisors Corporation 3978
Street Address 1 Street Address 2
568 Pennsylvania Avenue
City State/Province/Country ZIP/Postal Code
Glen Ellyn ILLINOIS 60137
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ILLINOIS
Recipient
Recipient CRD Number    None
Timothy K. Whipple 2829688
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
DFPG Investments, Inc. 155576
Street Address 1 Street Address 2
742 N. 530 E.
City State/Province/Country ZIP/Postal Code
Oren UTAH 84097
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
UTAH
Recipient
Recipient CRD Number    None
Peter A. Pigeon 4550227
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Triad Advisors LLC 25803
Street Address 1 Street Address 2
1704 Laurel Street
City State/Province/Country ZIP/Postal Code
Columbia SOUTH CAROLINA 29201
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
SOUTH CAROLINA
Recipient
Recipient CRD Number    None
RCX Capital Group, LLC 114290
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
RCX Capital Group, LLC 114290
Street Address 1 Street Address 2
12707 High Bluff Drive, STE #200
City State/Province/Country ZIP/Postal Code
San Diego CALIFORNIA 92130
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
Steven M. Katz 2947062
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Money Concepts Capital Corp. 12963
Street Address 1 Street Address 2
331 S. Jefferson Street
City State/Province/Country ZIP/Postal Code
Frederick MARYLAND 21701
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
MARYLAND
Recipient
Recipient CRD Number    None
Clyde E. Patton 4560787
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Cambridge Investment Research, Inc. 39543
Street Address 1 Street Address 2
8601 Leake Ave,
City State/Province/Country ZIP/Postal Code
New Orleans LOUISIANA 70118
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
LOUISIANA
Recipient
Recipient CRD Number    None
Jeffrey J. Arburn 1475817
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Woodbury Financial Services, Inc. 421
Street Address 1 Street Address 2
880 E. Campbell Avenue, STE 206
City State/Province/Country ZIP/Postal Code
Campbell CALIFORNIA 95008
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
James A. Franklin 4799613
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
1st Global Capital Corp 30349
Street Address 1 Street Address 2
8300 FM 1960 West, STE 450
City State/Province/Country ZIP/Postal Code
Houston TEXAS 77070
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
TEXAS
Recipient
Recipient CRD Number    None
Lois A. Leynse 2949395
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
HD Vest Investment Services 13686
Street Address 1 Street Address 2
295 27th Street
City State/Province/Country ZIP/Postal Code
Oakland CALIFORNIA 94612
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
Recipient
Recipient CRD Number    None
Joseph A. Nugent 4019776
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Concorde Investment Services, LLC 151604
Street Address 1 Street Address 2
3457 Binghurst Road
City State/Province/Country ZIP/Postal Code
Suwanee GEORGIA 30024
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
PENNSYLVANIA
Recipient
Recipient CRD Number    None
Thomas H. Curry 2997794
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Lincoln Financial Securities Coporation 3870
Street Address 1 Street Address 2
10590 Independence Pointe Parkway, STE 201
City State/Province/Country ZIP/Postal Code
Matthews NORTH CAROLINA 28105
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
NORTH CAROLINA
Recipient
Recipient CRD Number    None
Cindy Shu-Way Shi 4231195
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Cambridge Investment Research, Inc. 39543
Street Address 1 Street Address 2
20045 Stevens Creek Blvd., STE 2G
City State/Province/Country ZIP/Postal Code
Cupertino CALIFORNIA 95014
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA

13. Offering and Sales Amounts

Total Offering Amount $39,990,338 USD
or    Indefinite
Total Amount Sold $33,351,732 USD
Total Remaining to be Sold $6,638,606 USD
or    Indefinite

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:
79

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 $1,999,517 USD
X Estimate
Finders' Fees $0 USD
   Estimate

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.

$2,369,105 USD
X Estimate

Clarification of Response (if Necessary):

Estimate of certain fees, including Dealer Fee & Placement Agent Fee, and offering and organizational expenses that may accrue to one or more Related Persons.

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 the issuer 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 Regulation D exemption for the offering, the issuer is not disqualified from relying on Rule 504 or Rule 506 for one of the reasons stated in Rule 504(b)(3) or Rule 506(d).

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
Healthcare Portfolio IV DST Keith Lampi Keith Lampi President of the Member of the Signatory Trustee 2018-03-16

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.