# EDGAR Filing Document

**Accession Number:** 0001864054
**File Stem:** 0001752724-23-064543
**Filing Date:** 2023-3
**Character Count:** 6427
**Document Hash:** 5c3672ce6832b63801dc752307da3bfa
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001752724-23-064543.hdr.sgml**: 20230323

**ACCESSION NUMBER**: 0001752724-23-064543

**CONFORMED SUBMISSION TYPE**: 24F-2NT

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20221231

**FILED AS OF DATE**: 20230323

**DATE AS OF CHANGE**: 20230323

**EFFECTIVENESS DATE**: 20230323

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Fortune V Separate Account
- **CENTRAL INDEX KEY:** 0001864054
- **IRS NUMBER:** 660502334
- **STATE OF INCORPORATION:** PR
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 24F-2NT
- **SEC ACT:** 1933 Act
- **SEC FILE NUMBER:** 333-259232
- **FILM NUMBER:** 23756589

**BUSINESS ADDRESS:**
- **STREET 1:** CALLE 1 LOTE 10
- **STREET 2:** METRO OFFICE PARK
- **CITY:** GUAYNABO
- **STATE:** PR
- **ZIP:** 00968
- **BUSINESS PHONE:** 7877067379

**MAIL ADDRESS:**
- **STREET 1:** CALLE 1 LOTE 10
- **STREET 2:** METRO OFFICE PARK
- **CITY:** GUAYNABO
- **STATE:** PR
- **ZIP:** 00968

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** UNIVERSAL LIFE INSURANCE Co /PR
- **DATE OF NAME CHANGE:** 20210524

## Series and Classes Contracts Data

### Fortune V Separate Account (Series ID: S000074376)

---

|  |  |
|:---|:---|
| Class Name                 | Class ID   |
| Fortune V Separate Account | C000232197 |

---

### UNIVERSAL VIA - MONEY MARKET PORTFOLIO (Series ID: S000074447)

---

|  |  |
|:---|:---|
| Class Name                             | Class ID   |
| UNIVERSAL VIA - MONEY MARKET PORTFOLIO | C000232370 |

---

### UNIVERSAL VIA ASSET ALLOCATION - CONSERVATIVE PORTFOLIO (Series ID: S000074448)

---

|  |  |
|:---|:---|
| Class Name                                              | Class ID   |
| UNIVERSAL VIA ASSET ALLOCATION - CONSERVATIVE PORTFOLIO | C000232371 |

---

### UNIVERSAL VIA ASSET ALLOCATION - GROWTH PORTFOLIO (Series ID: S000074449)

---

|  |  |
|:---|:---|
| Class Name                                        | Class ID   |
| UNIVERSAL VIA ASSET ALLOCATION - GROWTH PORTFOLIO | C000232372 |

---

### UNIVERSAL VIA ASSET ALLOCATION - INTERNATIONAL GROWTH PORTFOLIO (Series ID: S000074450)

---

|  |  |
|:---|:---|
| Class Name                                                      | Class ID   |
| UNIVERSAL VIA ASSET ALLOCATION - INTERNATIONAL GROWTH PORTFOLIO | C000232373 |

---

### UNIVERSAL VIA ASSET ALLOCATION - MODERATE GROWTH PORTFOLIO (Series ID: S000074451)

---

|  |  |
|:---|:---|
| Class Name                                                 | Class ID   |
| UNIVERSAL VIA ASSET ALLOCATION - MODERATE GROWTH PORTFOLIO | C000232374 |

---

### UNIVERSAL VIA ASSET ALLOCATION - MODERATE PORTFOLIO (Series ID: S000074452)

---

|  |  |
|:---|:---|
| Class Name                                          | Class ID   |
| UNIVERSAL VIA ASSET ALLOCATION - MODERATE PORTFOLIO | C000232375 |

---

## Series and Classes Contracts Data

### Fortune V Separate Account (Series ID: S000074376)

| Class ID   | Class Name                 | Ticker Symbol   |
|:---|:---|:---|
| C000232197 | Fortune V Separate Account |  |

### UNIVERSAL VIA - MONEY MARKET PORTFOLIO (Series ID: S000074447)

| Class ID   | Class Name                             | Ticker Symbol   |
|:---|:---|:---|
| C000232370 | UNIVERSAL VIA - MONEY MARKET PORTFOLIO |  |

### UNIVERSAL VIA ASSET ALLOCATION - CONSERVATIVE PORTFOLIO (Series ID: S000074448)

| Class ID   | Class Name                                              | Ticker Symbol   |
|:---|:---|:---|
| C000232371 | UNIVERSAL VIA ASSET ALLOCATION - CONSERVATIVE PORTFOLIO |  |

### UNIVERSAL VIA ASSET ALLOCATION - GROWTH PORTFOLIO (Series ID: S000074449)

| Class ID   | Class Name                                        | Ticker Symbol   |
|:---|:---|:---|
| C000232372 | UNIVERSAL VIA ASSET ALLOCATION - GROWTH PORTFOLIO |  |

### UNIVERSAL VIA ASSET ALLOCATION - INTERNATIONAL GROWTH PORTFOLIO (Series ID: S000074450)

| Class ID   | Class Name                                                      | Ticker Symbol   |
|:---|:---|:---|
| C000232373 | UNIVERSAL VIA ASSET ALLOCATION - INTERNATIONAL GROWTH PORTFOLIO |  |

### UNIVERSAL VIA ASSET ALLOCATION - MODERATE GROWTH PORTFOLIO (Series ID: S000074451)

| Class ID   | Class Name                                                 | Ticker Symbol   |
|:---|:---|:---|
| C000232374 | UNIVERSAL VIA ASSET ALLOCATION - MODERATE GROWTH PORTFOLIO |  |

### UNIVERSAL VIA ASSET ALLOCATION - MODERATE PORTFOLIO (Series ID: S000074452)

| Class ID   | Class Name                                          | Ticker Symbol   |
|:---|:---|:---|
| C000232375 | UNIVERSAL VIA ASSET ALLOCATION - MODERATE PORTFOLIO |  |

## FORM 24F-2NT: Annual Notice of Securities Sold Pursuant to Rule 24f-2

### 24F-2NT: Filer Information

**Filer CIK:** 0001864054

**Is this a LIVE or TEST Filing?:** LIVE

**Filer Investment Company Type:** N-3

### 24F-2NT: Annual Filing Information

**1. Name and address of issuer:**

- **Name of Issuer:** Fortune V Separate Account

- **Address:** Metro Office Park, Guaynabo, PR 00968

**2. The Name and EDGAR Identifier of each series or class of securities for which this Form is filed:**

- [ ] Check box if the Form is being filed for all series and classes of the issuer.

**3. Investment Company Act File Number:** 811-23698

   **Securities Act File Number:** 333-259232

**4(a). Last day of fiscal year for which this Form is filed:** 12/31/2022

**4(b). Check box if this Form is being filed late:** [ ]

**4(c). Check box if this is the last time the issuer will be filing this Form:** [ ]

**5. Calculation of registration fee:**

- **(i) Aggregate sale price of securities sold during the fiscal year:** $17770850.00

- **(ii) Aggregate price of securities redeemed or repurchased during the fiscal year:** $49706841.00

- **(iii) Aggregate price of securities redeemed or repurchased during any prior fiscal year:** $29970643.00

- **(iv) Total available redemption credits [add Items 5(ii) and 5(iii)]:** $79677484.00

- **(v) Net sales:** $0.00

- **(vi) Redemption credits available for use in future years:** $-61906634.00

- **(vii) Multiplier for determining registration fee:** 0.0001102

- **(viii) Registration fee due:** $0.00

- **8. Total of the amount of the registration fee due plus any interest due:** $0.00

**Signatures**

**Name and Title:** Jose Benitez - President

**Date:** 03/21/2023

**Signature:** Jose Benitez