Form D Raw Data - Electronic Filing Depository

EFDID: 283941EFD: Raw Data

Issuer: Healthcare Portfolio V DST (0001754156) - D

Accession: 0001754156-18-000001 () (EDGAR Files) (Form D)

Edgar Posted: Sep. 26, 2018
EFD Posted: Sep. 27, 2018

- < edgarSubmission >

< schemaVersion > X0708 </ schemaVersion >

< submissionType > D </ submissionType >

< testOrLive > LIVE </ testOrLive >

- < primaryIssuer >

< cik > 0001754156 </ cik >

< entityName > Healthcare Portfolio V DST </ entityName >

- < issuerAddress >

< street1 > 2901 BUTTERFIELD ROAD </ street1 >

< city > OAK BROOK </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60523 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 8886711031 </ issuerPhoneNumber >

< jurisdictionOfInc > DELAWARE </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Business Trust </ entityType >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2018 </ value >

</ yearOfInc >

</ primaryIssuer >

- < relatedPersonsList >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > N/A </ firstName >

< lastName > Inland Private Capital Corporation </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2901 Butterfield Road </ street1 >

< city > Oak Brook </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60523 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Promoter </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Sponsor of the Issuer </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > N/A </ firstName >

< lastName > Healthcare Portfolio V, L.L.C. </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2901 Butterfield Road </ street1 >

< city > Oak Brook </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60523 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Promoter </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Depositor of the Issuer </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > N/A </ firstName >

< lastName > Healthcare Portfolio V Exchange, L.L.C. </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2901 Butterfield Road </ street1 >

< city > Oak Brook </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60523 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Promoter </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Signatory Trustee of the Issuer </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Keith </ firstName >

< lastName > Lampi </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2901 Butterfield Road </ street1 >

< city > Oak Brook </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60523 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > 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. </ relationshipClarification >

</ relatedPersonInfo >

</ relatedPersonsList >

- < offeringData >

- < industryGroup >

< industryGroupType > Other Real Estate </ industryGroupType >

</ industryGroup >

- < issuerSize >

< revenueRange > Decline to Disclose </ revenueRange >

</ issuerSize >

- < federalExemptionsExclusions >

< item > 06b </ item >

</ federalExemptionsExclusions >

- < typeOfFiling >

- < newOrAmendment >

< isAmendment > false </ isAmendment >

</ newOrAmendment >

- < dateOfFirstSale >

< value > 2018-08-29 </ value >

</ dateOfFirstSale >

</ typeOfFiling >

- < durationOfOffering >

< moreThanOneYear > false </ moreThanOneYear >

</ durationOfOffering >

- < typesOfSecuritiesOffered >

< isOtherType > true </ isOtherType >

< descriptionOfOtherType > Beneficial interests in Delaware Statutory Trust reflecting beneficial interests in real estate. </ descriptionOfOtherType >

</ typesOfSecuritiesOffered >

- < businessCombinationTransaction >

< isBusinessCombinationTransaction > false </ isBusinessCombinationTransaction >

< clarificationOfResponse />

</ businessCombinationTransaction >

< minimumInvestmentAccepted > 25000 </ minimumInvestmentAccepted >

- < salesCompensationList >

- < recipient >

< recipientName > RCX CAPITAL GROUP, LLC </ recipientName >

< recipientCRDNumber > 114290 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 12707 HIGH BLUFF DRIVE </ street1 >

< street2 > SUITE #200 </ street2 >

< city > SAN DIEGO </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92130 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > IL </ state >

< description > ILLINOIS </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Bruce Wellings </ recipientName >

< recipientCRDNumber > 4436815 </ recipientCRDNumber >

< associatedBDName > 1st Global Capital Corporation </ associatedBDName >

< associatedBDCRDNumber > 30349 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 695 OAK GROVE AVENUE SUITE 100 </ street1 >

< city > MENLO PARK </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94025 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > CA </ state >

< description > CALIFORNIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Chay Lapin </ recipientName >

< recipientCRDNumber > 6275140 </ recipientCRDNumber >

< associatedBDName > WEALTHFORGE SECURITIES, LLC </ associatedBDName >

< associatedBDCRDNumber > 152550 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 819 North Harbor Drive Suite 400 </ street1 >

< city > Redondo Beach </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 90277 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > CA </ state >

< description > CALIFORNIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Daniel Nemeth </ recipientName >

< recipientCRDNumber > 6150953 </ recipientCRDNumber >

< associatedBDName > MCDERMOTT INVESTMENT SERVICES, LLC </ associatedBDName >

< associatedBDCRDNumber > 154926 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 44 EAST BROAD STREET 2ND FLOOR </ street1 >

< city > BETHLEHEM </ city >

< stateOrCountry > PA </ stateOrCountry >

< stateOrCountryDescription > PENNSYLVANIA </ stateOrCountryDescription >

< zipCode > 18018 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > PA </ state >

< description > PENNSYLVANIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > David Eurton </ recipientName >

< recipientCRDNumber > 3203522 </ recipientCRDNumber >

< associatedBDName > WESTPARK CAPITAL, INC. </ associatedBDName >

< associatedBDCRDNumber > 39914 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 1600 Dove Street Suite 250 </ street1 >

< city > Newport Beach </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92660 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > CA </ state >

< description > CALIFORNIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > David Levinson </ recipientName >

< recipientCRDNumber > 705929 </ recipientCRDNumber >

< associatedBDName > WESTPARK CAPITAL, INC. </ associatedBDName >

< associatedBDCRDNumber > 39914 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 1600 Dove Street Suite 250 </ street1 >

< city > Newport Beach </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92660 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > KY </ state >

< description > KENTUCKY </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Elizabeth Friant </ recipientName >

< recipientCRDNumber > 2122446 </ recipientCRDNumber >

< associatedBDName > WEALTHFORGE SECURITIES, LLC </ associatedBDName >

< associatedBDCRDNumber > 152550 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 1101 Pennsylvania Avenue N.W. Suite 300 </ street1 >

< city > Washington, D.C. </ city >

< stateOrCountry > DC </ stateOrCountry >

< stateOrCountryDescription > DISTRICT OF COLUMBIA </ stateOrCountryDescription >

< zipCode > 20004 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > VA </ state >

< description > VIRGINIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Eric Scaff </ recipientName >

< recipientCRDNumber > 5281210 </ recipientCRDNumber >

< associatedBDName > CONCORDE INVESTMENT SERVICES, LLC </ associatedBDName >

< associatedBDCRDNumber > 151604 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 300 MONTOMERY STREET SUITE 631 </ street1 >

< city > SAN FRANCISCO </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94101 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > ID </ state >

< description > IDAHO </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Joseph Nugent </ recipientName >

< recipientCRDNumber > 4019776 </ recipientCRDNumber >

< associatedBDName > CONCORDE INVESTMENT SERVICES, LLC </ associatedBDName >

< associatedBDCRDNumber > 151604 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 3457 Binghurst Road </ street1 >

< city > SUWANEE </ city >

< stateOrCountry > GA </ stateOrCountry >

< stateOrCountryDescription > GEORGIA </ stateOrCountryDescription >

< zipCode > 30024 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > NC </ state >

< description > NORTH CAROLINA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Kurt Hill </ recipientName >

< recipientCRDNumber > 4140227 </ recipientCRDNumber >

< associatedBDName > CFD INVESTMENTS, INC. </ associatedBDName >

< associatedBDCRDNumber > 25427 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 25 Garnsey Ave </ street1 >

< city > Bakersfield </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 93309 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > CA </ state >

< description > CALIFORNIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Marla Ringling </ recipientName >

< recipientCRDNumber > 4084148 </ recipientCRDNumber >

< associatedBDName > CAMBRIDGE INVESTMENT RESEARCH, INC. </ associatedBDName >

< associatedBDCRDNumber > 39543 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 802 N. LINCOLN ST. </ street1 >

< city > POST FALLS </ city >

< stateOrCountry > ID </ stateOrCountry >

< stateOrCountryDescription > IDAHO </ stateOrCountryDescription >

< zipCode > 83854 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > ID </ state >

< description > IDAHO </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Matthew Myers </ recipientName >

< recipientCRDNumber > 2506930 </ recipientCRDNumber >

< associatedBDName > PRIVATE CLIENT SERVICES, LLC </ associatedBDName >

< associatedBDCRDNumber > 120222 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 10811 MAIN STREET </ street1 >

< city > BELLEVUE </ city >

< stateOrCountry > WA </ stateOrCountry >

< stateOrCountryDescription > WASHINGTON </ stateOrCountryDescription >

< zipCode > 98004 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > WA </ state >

< description > WASHINGTON </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Neil Schmerling </ recipientName >

< recipientCRDNumber > 4075729 </ recipientCRDNumber >

< associatedBDName > 1ST GLOBAL CAPITAL CORP. </ associatedBDName >

< associatedBDCRDNumber > 30349 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 261 OLD YORK ROAD SUITE 514 </ street1 >

< city > JENKINTOWN </ city >

< stateOrCountry > PA </ stateOrCountry >

< stateOrCountryDescription > PENNSYLVANIA </ stateOrCountryDescription >

< zipCode > 19046 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > PA </ state >

< description > PENNSYLVANIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Norma Nisbet </ recipientName >

< recipientCRDNumber > 5590290 </ recipientCRDNumber >

< associatedBDName > COLORADO FINANCIAL SERVICE CORPORATION </ associatedBDName >

< associatedBDCRDNumber > 104343 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 5649 HILLCAMP COURT </ street1 >

< city > ST LOUIS </ city >

< stateOrCountry > MO </ stateOrCountry >

< stateOrCountryDescription > MISSOURI </ stateOrCountryDescription >

< zipCode > 63128 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > MO </ state >

< description > MISSOURI </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Robert Smith </ recipientName >

< recipientCRDNumber > 1412333 </ recipientCRDNumber >

< associatedBDName > CONCORDE INVESTMENT SERVICES, LLC </ associatedBDName >

< associatedBDCRDNumber > 151604 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 5000 MEADOWS ROAD SUITE 230 </ street1 >

< city > LAKE OSWEGO </ city >

< stateOrCountry > OR </ stateOrCountry >

< stateOrCountryDescription > OREGON </ stateOrCountryDescription >

< zipCode > 97035 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > CA </ state >

< description > CALIFORNIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Ronald York </ recipientName >

< recipientCRDNumber > 4308987 </ recipientCRDNumber >

< associatedBDName > Triad Advisors, Inc. </ associatedBDName >

< associatedBDCRDNumber > 25803 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 4814 OUTLOOK DRIVE SUITE 104 </ street1 >

< city > WALL </ city >

< stateOrCountry > NJ </ stateOrCountry >

< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07753 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > NJ </ state >

< description > NEW JERSEY </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Richard Berger </ recipientName >

< recipientCRDNumber > 702839 </ recipientCRDNumber >

< associatedBDName > TRIAD ADVISORS LLC </ associatedBDName >

< associatedBDCRDNumber > 25803 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 4814 OUTLOOK DRIVE SUITE 104 </ street1 >

< city > WALL </ city >

< stateOrCountry > NJ </ stateOrCountry >

< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07753 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > NJ </ state >

< description > NEW JERSEY </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Steven Tellar </ recipientName >

< recipientCRDNumber > 6012496 </ recipientCRDNumber >

< associatedBDName > AMERICAN PORTFOLIOS FINANCIAL SERVICES, INC. </ associatedBDName >

< associatedBDCRDNumber > 18487 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 2 BRIDGEWATER ROAD SUITE 104 </ street1 >

< city > FARMINGTON </ city >

< stateOrCountry > CT </ stateOrCountry >

< stateOrCountryDescription > CONNECTICUT </ stateOrCountryDescription >

< zipCode > 06032 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > RI </ state >

< description > RHODE ISLAND </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Troy Thomas </ recipientName >

< recipientCRDNumber > 4691720 </ recipientCRDNumber >

< associatedBDName > MCDERMOTT INVESTMENT SERVICES, LLC </ associatedBDName >

< associatedBDCRDNumber > 154926 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 101 MAIN STREET SUITE 260 </ street1 >

< city > HUNTINGTON BEACH </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92648 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > TX </ state >

< description > TEXAS </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

</ salesCompensationList >

- < offeringSalesAmounts >

< totalOfferingAmount > 59879155 </ totalOfferingAmount >

< totalAmountSold > 16545297 </ totalAmountSold >

< totalRemaining > 43333858 </ totalRemaining >

< clarificationOfResponse />

</ offeringSalesAmounts >

- < investors >

< hasNonAccreditedInvestors > false </ hasNonAccreditedInvestors >

< totalNumberAlreadyInvested > 27 </ totalNumberAlreadyInvested >

</ investors >

- < salesCommissionsFindersFees >

- < salesCommissions >

< dollarAmount > 2993958 </ dollarAmount >

< isEstimate > true </ isEstimate >

</ salesCommissions >

- < findersFees >

< dollarAmount > 0 </ dollarAmount >

</ findersFees >

< clarificationOfResponse />

</ salesCommissionsFindersFees >

- < useOfProceeds >

- < grossProceedsUsed >

< dollarAmount > 3589701 </ dollarAmount >

< isEstimate > true </ isEstimate >

</ grossProceedsUsed >

< clarificationOfResponse > 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. </ clarificationOfResponse >

</ useOfProceeds >

- < signatureBlock >

< authorizedRepresentative > false </ authorizedRepresentative >

- < signature >

< issuerName > Healthcare Portfolio V DST </ issuerName >

< signatureName > Keith Lampi </ signatureName >

< nameOfSigner > Keith Lampi </ nameOfSigner >

< signatureTitle > President of the Sole Member of the Signatory Trustee of t </ signatureTitle >

< signatureDate > 2018-09-25 </ signatureDate >

</ signature >

</ signatureBlock >

</ offeringData >

</ edgarSubmission >