This is the Primary Document downloaded from EDGAR on 12/10/2018 5:15:32 PM EST for EFDID 283941 and Accession Number 0001758222-18-000003.

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
0001754156
   Corporation
   Limited Partnership
   Limited Liability Company
   General Partnership
X Business Trust
   Other (Specify)

Name of Issuer
Healthcare Portfolio V DST
Jurisdiction of Incorporation/Organization
DELAWARE
Year of Incorporation/Organization
   Over Five Years Ago
X Within Last Five Years (Specify Year) 2018
   Yet to Be Formed

2. Principal Place of Business and Contact Information

Name of Issuer
Healthcare Portfolio V DST
Street Address 1 Street Address 2
2901 BUTTERFIELD ROAD
City State/Province/Country ZIP/PostalCode Phone Number of Issuer
OAK BROOK ILLINOIS 60523 8886711031

3. Related Persons

Last Name First Name Middle Name
Inland Private Capital Corporation N/A
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 V, L.L.C. N/A
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 V Exchange, L.L.C. N/A
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 V Exchange. L.L.C, the Signatory Trustee of Issuer.

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 2018-08-29    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
RCX CAPITAL GROUP, LLC 114290
(Associated) Broker or Dealer X None
(Associated) Broker or Dealer CRD Number X None
None None
Street Address 1 Street Address 2
12707 HIGH BLUFF DRIVE SUITE #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
ILLINOIS
Recipient
Recipient CRD Number    None
1st Global Capital Corporation 30349
(Associated) Broker or Dealer X None
(Associated) Broker or Dealer CRD Number X None
None None
Street Address 1 Street Address 2
695 OAK GROVE AVENUE SUITE 100
City State/Province/Country ZIP/Postal Code
MENLO PARK CALIFORNIA 94025
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		 X All States
   Foreign/non-US
Recipient
Recipient CRD Number    None
WEALTHFORGE SECURITIES, LLC 152550
(Associated) Broker or Dealer X None
(Associated) Broker or Dealer CRD Number X None
None None
Street Address 1 Street Address 2
819 North Harbor Drive Suite 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		 X All States
   Foreign/non-US
Recipient
Recipient CRD Number    None
MCDERMOTT INVESTMENT SERVICES, LLC 154926
(Associated) Broker or Dealer X None
(Associated) Broker or Dealer CRD Number X None
None None
Street Address 1 Street Address 2
44 EAST BROAD STREET 2ND FLOOR
City State/Province/Country ZIP/Postal Code
BETHLEHEM PENNSYLVANIA 18018
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		 X All States
   Foreign/non-US
Recipient
Recipient CRD Number    None
David Eurton 3203522
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
WESTPARK CAPITAL, INC. 39914
Street Address 1 Street Address 2
1600 Dove Street Suite 250
City State/Province/Country ZIP/Postal Code
Newport Beach CALIFORNIA 92660
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
NEVADA
Recipient
Recipient CRD Number    None
David Levinson 705929
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
WESTPARK CAPITAL, INC. 39914
Street Address 1 Street Address 2
1600 Dove Street Suite 250
City State/Province/Country ZIP/Postal Code
Newport Beach CALIFORNIA 92660
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
DISTRICT OF COLUMBIA
FLORIDA
KENTUCKY
MICHIGAN
NEVADA
NEW YORK
OHIO
RHODE ISLAND
WASHINGTON
Recipient
Recipient CRD Number    None
CONCORDE INVESTMENT SERVICES, LLC 151604
(Associated) Broker or Dealer X None
(Associated) Broker or Dealer CRD Number X None
None None
Street Address 1 Street Address 2
300 MONTOMERY STREET SUITE 631
City State/Province/Country ZIP/Postal Code
SAN FRANCISCO CALIFORNIA 94101
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		 X All States
   Foreign/non-US
Recipient
Recipient CRD Number    None
Kurt Hill 4140227
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
CFD INVESTMENTS, INC. 25427
Street Address 1 Street Address 2
25 Garnsey Ave
City State/Province/Country ZIP/Postal Code
Bakersfield CALIFORNIA 93309
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
GEORGIA
HAWAII
NORTH CAROLINA
OREGON
TEXAS
Recipient
Recipient CRD Number    None
CAMBRIDGE INVESTMENT RESEARCH, INC. 39543
(Associated) Broker or Dealer X None
(Associated) Broker or Dealer CRD Number X None
None None
Street Address 1 Street Address 2
802 N. LINCOLN ST.
City State/Province/Country ZIP/Postal Code
POST FALLS IDAHO 83854
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		 X All States
   Foreign/non-US
Recipient
Recipient CRD Number    None
Matthew Myers 2506930
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
PRIVATE CLIENT SERVICES, LLC 120222
Street Address 1 Street Address 2
10811 MAIN STREET
City State/Province/Country ZIP/Postal Code
BELLEVUE WASHINGTON 98004
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ARIZONA
CALIFORNIA
DELAWARE
FLORIDA
HAWAII
IDAHO
INDIANA
IOWA
KANSAS
KENTUCKY
MASSACHUSETTS
MINNESOTA
MONTANA
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OREGON
PENNSYLVANIA
SOUTH CAROLINA
SOUTH DAKOTA
TEXAS
UTAH
WASHINGTON
Recipient
Recipient CRD Number    None
Norma Nisbet 5590290
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
COLORADO FINANCIAL SERVICE CORPORATION 104343
Street Address 1 Street Address 2
5649 HILLCAMP COURT
City State/Province/Country ZIP/Postal Code
ST LOUIS MISSOURI 63128
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
GEORGIA
IDAHO
ILLINOIS
KENTUCKY
MISSOURI
Recipient
Recipient CRD Number    None
Ronald York 4308987
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Triad Advisors, Inc. 25803
Street Address 1 Street Address 2
4814 OUTLOOK DRIVE SUITE 104
City State/Province/Country ZIP/Postal Code
WALL NEW JERSEY 07753
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ALABAMA
CALIFORNIA
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
MARYLAND
NEW JERSEY
NEW YORK
NORTH CAROLINA
PENNSYLVANIA
Recipient
Recipient CRD Number    None
Richard Berger 702839
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
TRIAD ADVISORS LLC 25803
Street Address 1 Street Address 2
4814 OUTLOOK DRIVE SUITE 104
City State/Province/Country ZIP/Postal Code
WALL NEW JERSEY 07753
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ALABAMA
ARIZONA
CALIFORNIA
FLORIDA
GEORGIA
ILLINOIS
MARYLAND
MASSACHUSETTS
NEVADA
NEW JERSEY
NEW YORK
PENNSYLVANIA
VERMONT
VIRGINIA
Recipient
Recipient CRD Number    None
Steven Tellar 6012496
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
AMERICAN PORTFOLIOS FINANCIAL SERVICES, INC. 18487
Street Address 1 Street Address 2
2 BRIDGEWATER ROAD SUITE 104
City State/Province/Country ZIP/Postal Code
FARMINGTON CONNECTICUT 06032
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ARIZONA
CALIFORNIA
CONNECTICUT
FLORIDA
MASSACHUSETTS
NEW YORK
NORTH CAROLINA
RHODE ISLAND
Recipient
Recipient CRD Number    None
GARY EARL CONLEY 52159
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
AMERICAN INVESTORS COMPANY 38
Street Address 1 Street Address 2
1600 VALLEY RIVER DRIVE, SUITE 385
City State/Province/Country ZIP/Postal Code
EUGENE OREGON 97401
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ARIZONA
CALIFORNIA
MONTANA
NEVADA
NORTH CAROLINA
OREGON
WASHINGTON
Recipient
Recipient CRD Number    None
DAVID ALEXANDER VILENO 5848435
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
AMERICAN PORTFOLIOS FINANCIAL SERVICES, INC. 18487
Street Address 1 Street Address 2
1700 66th Street No Suite 209
City State/Province/Country ZIP/Postal Code
St. Petersburg FLORIDA 33710
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
FLORIDA
GEORGIA
MARYLAND
MASSACHUSETTS
VIRGINIA
WISCONSIN
Recipient
Recipient CRD Number    None
SAMUEL A JULIAN 4488869
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
AUSDAL FINANCIAL PARTNERS, INC. 7995
Street Address 1 Street Address 2
445 N. PENNSYLVANIA STREET, SUITE 810
City State/Province/Country ZIP/Postal Code
INDIANAPOLIS INDIANA 46204
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
FLORIDA
INDIANA
PENNSYLVANIA
SOUTH CAROLINA
Recipient
Recipient CRD Number    None
Jeffrey 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 Suite 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
COLORADO
MISSOURI
NEVADA
TENNESSEE
TEXAS
UTAH
WASHINGTON
Recipient
Recipient CRD Number    None
RYAN DAVID FINCH 6379871
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
COLORADO FINANCIAL SERVICE CORPORATION 104343
Street Address 1 Street Address 2
7600 E Eastman Ave Suite 410
City State/Province/Country ZIP/Postal Code
Denver COLORADO 80231
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
COLORADO
Recipient
Recipient CRD Number    None
KERRI M SULLIVAN-KREISS 2141713
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
COMMONWEALTH FINANCIAL NETWORK 8032
Street Address 1 Street Address 2
225 CEDAR HILL STREET SUITE 200
City State/Province/Country ZIP/Postal Code
MARLBOROUGH MASSACHUSETTS 01752
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ALASKA
ARIZONA
CALIFORNIA
COLORADO
CONNECTICUT
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
IDAHO
ILLINOIS
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MISSOURI
NEVADA
NEW HAMPSHIRE
NEW YORK
NORTH CAROLINA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
UTAH
VERMONT
VIRGINIA
WASHINGTON
Recipient
Recipient CRD Number    None
ADAM DANIEL GALLEGOS 4444399
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
COMMONWEALTH FINANCIAL NETWORK 8032
Street Address 1 Street Address 2
1312 9th Street
City State/Province/Country ZIP/Postal Code
BERKELEY CALIFORNIA 94710
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
IDAHO
ILLINOIS
INDIANA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
Recipient
Recipient CRD Number    None
HIRO ROBERT KAGIYAMA 5443419
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
COMMONWEALTH FINANCIAL NETWORK 8032
Street Address 1 Street Address 2
1312 9th Street
City State/Province/Country ZIP/Postal Code
BERKELEY CALIFORNIA 94710
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		 X All States
   Foreign/non-US
Recipient
Recipient CRD Number    None
DFPG INVESTMENTS, INC. 155576
(Associated) Broker or Dealer X None
(Associated) Broker or Dealer CRD Number X None
None None
Street Address 1 Street Address 2
903 SPRINGWOOD LANE
City State/Province/Country ZIP/Postal Code
ENCINITAS CALIFORNIA 92024
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		 X All States
   Foreign/non-US
Recipient
Recipient CRD Number    None
HD VEST INVESTMENT SERVICES 13686
(Associated) Broker or Dealer X None
(Associated) Broker or Dealer CRD Number X None
None None
Street Address 1 Street Address 2
6016 Poplar Court
City State/Province/Country ZIP/Postal Code
Bellvue COLORADO 80512
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		 X All States
   Foreign/non-US
Recipient
Recipient CRD Number    None
Jennifer Goralski 6737853
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
HARBOUR INVESTMENTS, INC. 19258
Street Address 1 Street Address 2
2198 E Camelback Rd. Ste 315
City State/Province/Country ZIP/Postal Code
Phoenix ARIZONA 85016
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ARIZONA
CALIFORNIA
NEVADA
Recipient
Recipient CRD Number    None
INDEPENDENT FINANCIAL GROUP, LLC 7717
(Associated) Broker or Dealer X None
(Associated) Broker or Dealer CRD Number X None
None None
Street Address 1 Street Address 2
360 Fairview Way
City State/Province/Country ZIP/Postal Code
Milpitas CALIFORNIA 95035
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		 X All States
   Foreign/non-US
Recipient
Recipient CRD Number    None
INVESTACORP, INC. 7684
(Associated) Broker or Dealer X None
(Associated) Broker or Dealer CRD Number X None
None None
Street Address 1 Street Address 2
2901 BUTTERFIELD RD.
City State/Province/Country ZIP/Postal Code
OAKBROOK ILLINOIS 60523
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		 X All States
   Foreign/non-US
Recipient
Recipient CRD Number    None
LIGHTHOUSE CAPITAL GROUP, LLC 169135
(Associated) Broker or Dealer X None
(Associated) Broker or Dealer CRD Number X None
None None
Street Address 1 Street Address 2
1055 E. COLORADO BLVD., SUITE 310
City State/Province/Country ZIP/Postal Code
PASADENA CALIFORNIA 91106
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		 X All States
   Foreign/non-US
Recipient
Recipient CRD Number    None
PAUL M GETTY 6470002
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
LIGHTPATH CAPITAL, INC 34617
Street Address 1 Street Address 2
2025 Gateway Place, Ste. 485
City State/Province/Country ZIP/Postal Code
San Jose CALIFORNIA 95110
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
NEVADA
NEW YORK
OREGON
WASHINGTON
Recipient
Recipient CRD Number    None
DAVID CLARK 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 SUITE 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
CALIFORNIA
COLORADO
DISTRICT OF COLUMBIA
IDAHO
MASSACHUSETTS
NEVADA
NEW MEXICO
NEW YORK
OHIO
OREGON
PENNSYLVANIA
TEXAS
UTAH
VIRGINIA
Recipient
Recipient CRD Number    None
WILLIAM HUGH BLACK 709696
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
LION STREET FINANCIAL, LLC 165828
Street Address 1 Street Address 2
341 Cool Springs Blvd Ste 210
City State/Province/Country ZIP/Postal Code
Franklin TENNESSEE 37067
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ALABAMA
TENNESSEE
Recipient
Recipient CRD Number    None
HUGO GRIMALDI 4626118
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
MONEY CONCEPTS CAPITAL CORP 12963
Street Address 1 Street Address 2
8800 SE Sunnyside Road ste. 107n
City State/Province/Country ZIP/Postal Code
Clackamas OREGON 97015
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
ERIC ARTHUR BICKNESE 2829451
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
NATIONWIDE PLANNING ASSOCIATES INC. 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
ARIZONA
Recipient
Recipient CRD Number    None
CHRISTINA SUZANNE 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 Suite 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
ARIZONA
Recipient
Recipient CRD Number    None
SPENCER LUND WESTON 1482772
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
QUESTAR CAPITAL CORPORATION 43100
Street Address 1 Street Address 2
3420 COACH LANE SUITE 3
City State/Province/Country ZIP/Postal Code
CAMERON PARK CALIFORNIA 95682
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 TARKINGTON CHRISTY 4573758
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
ROYAL ALLIANCE ASSOCIATES, INC. 23131
Street Address 1 Street Address 2
1535 WALNUT STREET SUITE 107
City State/Province/Country ZIP/Postal Code
KANSAS CITY MISSOURI 64108
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
ANDREA JEAN WILT 5902573
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
ROYAL ALLIANCE ASSOCIATES, INC. 23131
Street Address 1 Street Address 2
1535 WALNUT STREET SUITE 107
City State/Province/Country ZIP/Postal Code
KANSAS CITY MISSOURI 64108
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
CONNIE LYNN HEIER 4428370
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
ROYAL ALLIANCE ASSOCIATES, INC. 23131
Street Address 1 Street Address 2
1535 WALNUT STREET SUITE 107
City State/Province/Country ZIP/Postal Code
KANSAS CITY MISSOURI 64108
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 JOHN SHERER 833618
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
SANDLAPPER SECURITIES, LLC 137906
Street Address 1 Street Address 2
455 Los Gatos Blvd Suite 206
City State/Province/Country ZIP/Postal Code
Los Gatos CALIFORNIA 95032
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
RYAN JONATHAN SHERER 5952617
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
SANDLAPPER SECURITIES, LLC 137906
Street Address 1 Street Address 2
455 Los Gatos Blvd Suite 206
City State/Province/Country ZIP/Postal Code
Los Gatos CALIFORNIA 95032
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
TOMAS JUHAN VELKEN 1600404
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
SIGMA FINANCIAL CORPORATION 14303
Street Address 1 Street Address 2
1078 CAROL LANE #203
City State/Province/Country ZIP/Postal Code
LAFAYETTE CALIFORNIA 94549
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
JEFFREY JOHN MCKAY 818303
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
VOYA FINANCIAL ADVISORS, INC. 2882
Street Address 1 Street Address 2
6000 SOUTHCENTER BLVD STE 70
City State/Province/Country ZIP/Postal Code
TUKWILA WASHINGTON 98188
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Recipient
Recipient CRD Number    None
BRUCE TOWNSEND FORMES 2545114
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
FSC Securities Corporation 7461
Street Address 1 Street Address 2
727 NORTH HARBOR BOULEVARD
City State/Province/Country ZIP/Postal Code
FULLERTON CALIFORNIA 92832
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
COLORADO
HAWAII
IDAHO
NEVADA
WASHINGTON
Recipient
Recipient CRD Number    None
Curtis Sathre 2459115
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
JRL Capital Corporation 10225
Street Address 1 Street Address 2
23121 VERDUGO DR STE 205
City State/Province/Country ZIP/Postal Code
LAGUNA HILLS CALIFORNIA 92653
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
HAWAII
IDAHO
OREGON
Recipient
Recipient CRD Number    None
Robert Fagan 1572927
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Madison Avenue Securities, LLC 23224
Street Address 1 Street Address 2
1175 Sidonia Street
City State/Province/Country ZIP/Postal Code
ENCINITAS CALIFORNIA 92024
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 Mire 1144000
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Royal Alliance Associates, Inc. 23131
Street Address 1 Street Address 2
901 WARRENVILLE ROAD SUITE 100
City State/Province/Country ZIP/Postal Code
LISLE ILLINOIS 60532
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
Maxwell Phillips 4953387
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Sagepoint Financial, Inc. 133763
Street Address 1 Street Address 2
3700 STATE STREET SUITE 310
City State/Province/Country ZIP/Postal Code
SANTA BARBARA CALIFORNIA 93105
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 Kwasny 1059113
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Woodbury Financial Services, Inc. 421
Street Address 1 Street Address 2
195 W JOE ORR ROAD SUITE 202
City State/Province/Country ZIP/Postal Code
CHICAGO HEIGHTS ILLINOIS 60411
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
Stanley Lewandoski 4476450
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
ARKADIOS CAPITAL 282710
Street Address 1 Street Address 2
10739 Deerwood Park Blvd #105
City State/Province/Country ZIP/Postal Code
Jacksonville FLORIDA 32256
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
COLORADO
FLORIDA
GEORGIA
Recipient
Recipient CRD Number    None
CHRISTOPHER LOUIS HASBROUCK 4886421
(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
7207 FORESTVIEW LANE N
City State/Province/Country ZIP/Postal Code
MAPLE GROVE NEW YORK 55369
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ARIZONA
FLORIDA
MINNESOTA
NEVADA
OREGON
WISCONSIN
Recipient
Recipient CRD Number    None
S PAUL LORUSSO SR. 5838694
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
FSC SECURITIES CORPORATION 7461
Street Address 1 Street Address 2
3356 SIX FORKS ROAD
City State/Province/Country ZIP/Postal Code
RALEIGH NORTH CAROLINA 27609
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
DELAWARE
LOUISIANA
NORTH CAROLINA
PENNSYLVANIA
SOUTH CAROLINA
Recipient
Recipient CRD Number    None
FRANK B HANNA JR 5736178
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
LINCOLN FINANCIAL ADVISORS CORPORATION 3978
Street Address 1 Street Address 2
850 CASSATT ROAD, 100 BERWYN PARK SUITE
City State/Province/Country ZIP/Postal Code
BERWYN PENNSYLVANIA 19312
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ARIZONA
CALIFORNIA
CONNECTICUT
DELAWARE
FLORIDA
MARYLAND
MASSACHUSETTS
NEW JERSEY
NEW YORK
NORTH CAROLINA
PENNSYLVANIA
SOUTH CAROLINA
Recipient
Recipient CRD Number    None
BRYAN R COGLIANO 4367535
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
LINCOLN FINANCIAL ADVISORS CORPORATION 3978
Street Address 1 Street Address 2
850 CASSATT ROAD, 100 BERWYN PARK SUITE
City State/Province/Country ZIP/Postal Code
BERWYN PENNSYLVANIA 19312
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ARIZONA
CALIFORNIA
CONNECTICUT
DELAWARE
FLORIDA
MASSACHUSETTS
NEW JERSEY
NEW YORK
NORTH CAROLINA
PENNSYLVANIA
Recipient
Recipient CRD Number    None
JAMES MICHAEL RAINE 2360466
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
QUESTAR CAPITAL CORPORATION 43100
Street Address 1 Street Address 2
501 MAIN STREET SUITE B
City State/Province/Country ZIP/Postal Code
WINDSOR COLORADO 80550
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
COLORADO
MISSOURI
NEW MEXICO
OHIO
Recipient
Recipient CRD Number    None
SAMUEL RYAN EDWARDS 4505066
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
SAGEPOINT FINANCIAL, INC. 133763
Street Address 1 Street Address 2
74 EIGHTH STREET SE
City State/Province/Country ZIP/Postal Code
HICKORY NORTH CAROLINA 28602
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
CALIFORNIA
GEORGIA
INDIANA
KENTUCKY
NORTH CAROLINA
SOUTH CAROLINA
TEXAS
VIRGINIA
Recipient
Recipient CRD Number    None
KAREN A FLEMING 1142002
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
SAGEPOINT FINANCIAL, INC. 133763
Street Address 1 Street Address 2
820 N. MAIN SUITE 101
City State/Province/Country ZIP/Postal Code
WICHITA KANSAS 67203
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
ILLINOIS
INDIANA
IOWA
KANSAS
MAINE
MARYLAND
MASSACHUSETTS
MINNESOTA
MISSOURI
NEBRASKA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
VIRGINIA
WASHINGTON
Recipient
Recipient CRD Number    None
JULIENNE ELIZABETH RIDDELL 5682274
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
SANDLAPPER SECURITIES, LLC 137906
Street Address 1 Street Address 2
NORTH STREET, 2ND FLOOR
City State/Province/Country ZIP/Postal Code
GREENVILL SOUTH CAROLINA 29601
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
FLORIDA
MICHIGAN
NEW YORK
Recipient
Recipient CRD Number    None
AMERICAN FIDELITY SECURITIES, INC. 11852
(Associated) Broker or Dealer X None
(Associated) Broker or Dealer CRD Number X None
None None
Street Address 1 Street Address 2
9000 CAMERON PARKWAY
City State/Province/Country ZIP/Postal Code
OKLAHOMA CITY OKLAHOMA 73114
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ALABAMA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
DISTRICT OF COLUMBIA
HAWAII
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEVADA
NORTH CAROLINA
NORTH DAKOTA
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH DAKOTA
VERMONT
WASHINGTON
WYOMING
Recipient
Recipient CRD Number    None
MYRON DALE ERSTAD 4771925
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
TRIAD ADVISORS LLC 25803
Street Address 1 Street Address 2
931 Madison Avenue Suite 201
City State/Province/Country ZIP/Postal Code
MANKATO MINNESOTA 56001
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
ARIZONA
CALIFORNIA
COLORADO
IOWA
KANSAS
MINNESOTA
SOUTH DAKOTA
WISCONSIN
Recipient
Recipient CRD Number    None
RANDALL LEE BREHMER 2052318
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
WOODBURY FINANCIAL SERVICES, INC. 421
Street Address 1 Street Address 2
41 S BRIDGE ST
City State/Province/Country ZIP/Postal Code
MARKESAN WISCONSIN 53946
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
FLORIDA
IOWA
MINNESOTA
WISCONSIN
WYOMING
Recipient
Recipient CRD Number    None
BRICE MICHAEL TERBEEST 6222441
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
WOODBURY FINANCIAL SERVICES, INC. 421
Street Address 1 Street Address 2
41 S BRIDGE ST
City State/Province/Country ZIP/Postal Code
MARKESAN WISCONSIN 53946
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States		    All States
   Foreign/non-US
FLORIDA
IOWA
WISCONSIN
WYOMING

13. Offering and Sales Amounts

Total Offering Amount $59,879,155 USD
or    Indefinite
Total Amount Sold $58,156,169 USD
Total Remaining to be Sold $1,722,986 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:
131

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 $2,993,958 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.

$3,589,701 USD
X Estimate

Clarification of Response (if Necessary):

Estimate of certain fees, including the 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 V DST Keith Lampi Keith Lampi President of the Sole Member of the Signatory Trustee of t 2018-12-10

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.