-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, UWeuDsuXLbL+edFuNqPHgGCBAZbzPDTBBZfX3/N4u1C8KUGvpDgL9AzNdJw2JrIT yfWSJJbtiRQn6zTL4dyo/w== 0001013781-97-000003.txt : 19970605 0001013781-97-000003.hdr.sgml : 19970605 ACCESSION NUMBER: 0001013781-97-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19970531 FILED AS OF DATE: 19970604 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SOUTHWEST ROYALTIES INC INCOME FUND V CENTRAL INDEX KEY: 0000782149 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 752104619 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15408 FILM NUMBER: 97618956 BUSINESS ADDRESS: STREET 1: 407 N BIG SPRING STE 300 CITY: MIDLAND STATE: TX ZIP: 79701 BUSINESS PHONE: 9156869927 MAIL ADDRESS: STREET 1: 407 N BIG SPRING STE 300 CITY: MIDLAND STATE: TX ZIP: 79701 COMPANY DATA: COMPANY CONFORMED NAME: KEATHLEY R DOUGLAS CENTRAL INDEX KEY: 0001013781 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 407 N BIG SPRING ST SUITE 300 CITY: MIDLAND STATE: TX ZIP: 79701 BUSINESS PHONE: 9156869927 MAIL ADDRESS: STREET 1: 407 N BIG SPRING STREET SUITE 300 CITY: MIDLAND STATE: TX ZIP: 79701 4 1 U. S. Securities and Exchange Commission Washington, D. C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940. 1. Name and Address of Reporting Person Keathley, R. Douglas 407 N. Big Spring Street Midland, TX 79701 2. Issuer Name and Ticker or Trading Symbol Southwest Royalties, Inc. Income Fund V 3. IRS or Social Security Number of Reporting Person ###-##-#### 4. Statement for Month/Year May 1997 5. If Amendment, Date of Original N/A 6. Relationship of Reporting Person to Issuer Southwest Royalties, Inc. as Managing General Partner, of which reporting person is Vice-President of Operations. TABLE I 1. Title of Security Limited partnership interest Units Date Code Units Acquired Price Owned Ownership Nature ---- ---- ----- -------- ----- ----- --------- ------ 05-13-97 P 20.00 A $141.36 872.50 I * * Southwest Royalties, Inc. as Managing General Partner, of which reporting person is Vice-President of Operations. Date: June 3, 1997 /s/ R. Douglas Keathley ----------------------------- R. Douglas Keathley, Vice- President of Operations of Southwest Royalties, Inc. the Managing General Partner -----END PRIVACY-ENHANCED MESSAGE-----