13F-HR 1 p19174_13fhr.txt FORM 13F-HR UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 13F FORM 13F COVER PAGE Report for the Calendar Year or Quarter Ended 12/31/04 Check here if Amendment [ ]; Amendment Number: This Amendment (Check only one.): [ ] is a restatement. [ ] adds new holdings entries. Institutional Investment Manager Filing this Report: Name: INTEGRAL CAPITAL MANAGEMENT V, LLC Address: 3000 Sand Hill Road Building 3, Suite 240 Menlo Park California 94025 13F File Number: 28-06231 The institutional investment manager filing this report and the person by whom it is signed hereby represent that the person signing the report is authorized to submit it, that all information contained herein is true, correct and complete, and that it is understood that all required items, statements, schedules, lists, and tables are considered integral parts of this form. Person Signing this Report on Behalf of Reporting Manager: Name: Pamela K. Hagenah Title: Manager Phone: 650-233-3506 Signature, Place and Date of signing: /s/ Pamela K. Hagenah -------------------------------------------------------------- Pamela K. Hagenah Menlo Park, California Feb 14, 2005 [Signature] [City, State] [Date] Report type (Check only one.): [X] 13F HOLDINGS REPORT. [ ] 13F NOTICE. [ ] 13F COMBINATION REPORT. FORM 13F SPECIAL ELECTRONIC FILING INSTRUCTIONS Continued FORM 13F SUMMARY PAGE List of Other Managers Reporting for this Manager: I AM SIGNING THIS REPORT AS REQUIRED BY THE SECURITIES EXCHANGE ACT OF 1934. Report Summary: Number of Other Included Managers: -0- Form 13F Information Table Total: 38 Form 13F Information Table Value Total: $383,514 (thousands) List of Other Included Managers: No. 13 F File Number Name NONE FORM 13F NAME OF REPORTING MANAGER: INTEGRAL CAPITAL MANAGEMENT V, LLC as of 12/31/04

TITLE OF VALUE SHARES/ SH/ PUT/ INVSTMT OTHER VOTING AUTHORITY NAME OF ISSUER CLASS CUSIP (X$1000) PRN AMT PRN CALL DSCRETN MANAGERS SOLE SHARED NONE ---------------------- ------------------ ----------- ---------- --- ---- ------- -------- -------- ------ ---- ~~-----------------------~~ADVANCED ~~--------------------------------------------------------------------------------------------------~~MEDICAL ~~ALTIRIS~~OPTICS INC. COMM STK ~~02148M100~~00763M108 445,465 1132,~~580~~830 SH SOLE 1132,~~580~~830 0 0 ~~AMERITRADE~~AKAMAI ~~HOLDING~~TECH. INC. COMM STK ~~03074K100~~00971T101 85,~~803~~129 ~~571~~393,~~604~~650 SH SOLE ~~571~~393,~~604~~650 0 0 ~~AMGEN~~ALTERA ~~INC.~~CORPORATION COMM STK ~~031162100~~021441100 37,~~719~~028 63339,~~950~~530 SH SOLE 63339,~~950~~530 0 0 ~~ANALOG~~ALTIRIS ~~DEVICES~~INC. COMM STK ~~032654105~~02148M100 1213,~~874~~424 ~~268~~378,~~150~~880 SH SOLE ~~268~~378,~~150~~880 0 0 ~~AVOCENT~~AMERITRADE ~~CORPORATION~~ COMM STK ~~053893103~~03074K100 98,~~643~~128 ~~261~~571,~~750~~604 SH SOLE ~~261~~571,~~750~~604 0 0 ~~BROADCOM~~ASK JEEVES INC. COMM STK ~~111320107~~045174109 9,~~079~~214 ~~232~~344,~~730~~440 SH SOLE ~~232~~344,~~730~~440 0 0 ~~CEPHALON~~AVOCENT CORPORATION COMM STK ~~156708109~~053893103 1318,~~032~~783 ~~227~~462,~~320~~530 SH SOLE ~~227~~462,~~320~~530 0 0 ~~CISCO~~BROADCOM ~~SYSTEMS~~CORPORATION COMM STK ~~17275R102~~111320107 124,~~196~~765 ~~517~~147,~~450~~620 SH SOLE ~~517~~147,~~450~~620 0 0 CITRIX SYSTEMS, INC. COMM STK 177376100 1319,~~829~~859 ~~639~~811,~~620~~900 SH SOLE ~~639~~811,~~620~~900 0 0 COGNIZANT ~~TECHNOLOGY~~TECH SOLUTIONS COMM STK 192446102 810,~~905~~414 ~~196~~246,~~800~~030 SH SOLE ~~196~~246,~~800~~030 0 0 ~~DRUGSTORE.COM~~CONOR MEDSYSTEMS INC. COMM STK ~~262241102~~208264101 ~~2,693~~165 ~~500~~11,~~634~~900 SH SOLE ~~500~~11,~~634~~900 0 0 ~~EBAY~~DOUBLECLICK INC. COMM STK ~~278642103~~258609304 124,~~338~~594 ~~178~~590,~~090~~470 SH SOLE ~~178~~590,~~090~~470 0 0 ~~FINDWHAT~~DRUGSTORE.COM COMM STK ~~317794105~~262241102 101,~~793~~702 ~~499~~500,~~444~~634 SH SOLE ~~499~~500,~~444~~634 0 0 ~~FOREST~~EBAY ~~LABORATORIES~~ INC. COMM STK ~~345838106~~278642103 75,~~185~~724 ~~100~~49,~~320~~200 SH SOLE ~~100~~49,~~320~~200 0 0 ~~INTEGRATED~~GUIDANT ~~CIRCUIT~~CORPORATION ~~SYSTEMS~~ COMM STK ~~45811K208~~401698105 128,~~315~~868 ~~492~~123,~~020~~000 SH SOLE ~~492~~123,~~020~~000 0 0 INTERSIL HOLDINGS COMPANY CL A 46069S109 154,~~207~~769 ~~681~~285,~~940~~390 SH SOLE ~~681~~285,~~940~~390 0 0 ~~INTUIT~~MCAFEE INC. COMM STK ~~461202103~~579064106 821,~~781~~358 ~~196~~738,~~740~~280 SH SOLE ~~196~~738,~~740~~280 0 0 ~~MARVELL~~MEDIMMUNE ~~TECHNOLOGIES GROUP LTD~~INC. COMM STK ~~G5876H105~~584699102 12,~~521~~270 ~~278~~452,~~490~~610 SH SOLE ~~278~~452,~~490~~610 0 0 ~~MAXIM~~NATIONAL ~~PHARMACEUTICALS~~SEMICONDUCTOR ~~INC.~~ COMM STK ~~57772M107~~637640103 39,~~105~~717 ~~362~~541,~~754~~320 SH SOLE ~~362~~541,~~754~~320 0 0 ~~MEDIMMUNE~~NEUROMETRIX, INC. COMM STK ~~584699102~~641255104 73,~~972~~109 ~~345~~264,~~410~~570 SH SOLE ~~345~~264,~~410~~570 0 0 ~~MEMBERWORKS~~NUVASIVE INC. COMM STK ~~586002107~~670704105 102,~~166~~707 ~~290~~264,~~280~~134 SH SOLE ~~290~~264,~~280~~134 0 0 ~~MERCURY~~OPENWAVE ~~INTERACTIVE~~SYSTEMS ~~CORPORATION~~INC. COMM STK ~~589405109~~683718308 415,~~409~~214 98984,~~410~~120 SH SOLE 98984,~~410~~120 0 0 ~~NEOMAGIC~~POLYCOM ~~CORPORATION~~INC. COMM STK ~~640497103~~73172K104 111,~~644~~475 ~~352~~492,~~760~~060 SH SOLE ~~352~~492,~~760~~060 0 0 ~~NETSCREEN~~POWERDSINE ~~TECHNOLOGIES INC~~LTD. COMM STK ~~64117V107~~M41415106 64,~~268~~703 ~~172~~343,~~202~~000 SH SOLE ~~172~~343,~~202~~000 0 0 ~~OMNIVISION~~QUALCOMM ~~TECHNOLOGIES~~INC. COMM STK ~~682128103~~747525103 920,~~137~~863 ~~334~~492,~~560~~050 SH SOLE ~~334~~492,~~560~~050 0 0 ~~QUALCOMM~~RSA SECURITY INC. COMM STK ~~747525103~~749719100 169,~~796~~377 ~~253~~467,~~370~~460 SH SOLE ~~253~~467,~~370~~460 0 0 ~~RED~~SIRF ~~HAT~~TECHNOLOGY HOLDINGS INC. COMM STK ~~756577102~~82967H101 206,~~346~~259 ~~882~~492,~~670~~060 SH SOLE ~~882~~492,~~670~~060 0 0 ~~SANDISK~~SONUS ~~CORPORATION~~NETWORKS INC. COMM STK ~~80004C101~~835916107 92,~~653~~864 ~~340~~499,~~380~~810 SH SOLE ~~340~~499,~~380~~810 0 0 ~~SCIENTIFIC~~SYMANTEC ~~ATLANTA~~CORPORATION COMM STK ~~808655104~~871503108 917,~~547~~745 ~~295~~688,~~210~~840 SH SOLE ~~295~~688,~~210~~840 0 0 ~~SILICON~~TAIWAN ~~LAORATORIES~~SEMICONDUCTOR ~~INC~~MFG. ~~COMM~~LTD. ~~STK~~SPNSRD ~~826919102~~ADR 874039100 9,~~054~~861 ~~171~~1,~~220~~161,510 SH SOLE ~~171~~1,~~220~~161,510 0 0 ~~SINA~~TEVA ~~CORPORATION~~PHARMACEUTICALS COMM STK ~~G81477104~~881624209 114,~~168~~775 ~~295~~159,~~210~~920 SH SOLE ~~295~~159,~~210~~920 0 0 ~~SOHU.COM~~TEXAS INSTRUMENTS INC. COMM STK ~~83408W103~~882508104 118,~~756~~724 ~~472~~354,~~330~~360 SH SOLE ~~472~~354,~~330~~360 0 0 ~~SYMANTEC~~UNITED ~~CORPORATION~~MICROELECTRONICS ~~COMM~~CORP ~~STK~~SPNSRD ~~871503108~~ADR 18910873207 8,~~671~~470 ~~403~~2,~~270~~399,563 SH SOLE ~~403~~2,~~270~~399,563 0 0 ~~TEXAS~~VERISIGN ~~INSTRUMENTS~~INC. COMM STK ~~882508104~~92343E102 436,~~600~~367 ~~157~~1,~~440~~082,340 SH SOLE ~~157~~1,~~440~~082,340 0 0 ~~VERITAS~~VERTRUE ~~SOFTWARE~~INC. ~~CORPORATION~~ COMM STK ~~923436109~~92534N101 1413,~~564~~939 ~~541~~369,~~220~~054 SH SOLE ~~541~~369,~~220~~054 0 0 ~~VODAFONE~~WEBEX ~~GROUP~~COMMUNICATIONS ~~PLC~~INC. ~~SPON~~COMM ~~ADR~~STK ~~92857W100~~94767L109 817,~~231~~552 ~~344~~738,~~410~~120 SH SOLE ~~344~~738,~~410~~120 0 0 XILINX COMM STK 983919101 47,~~459~~008 ~~118~~236,~~080~~190 SH SOLE ~~118~~236,~~080~~190 0 0 ~~XM SATELLITE RADIO HOLDINGS INC.CL A 983759101 5,140 184,016 SH SOLE 184,016 0 0~~ YAHOO! COMM STK 984332106 1211,~~353~~124 ~~254~~295,~~850~~210 SH SOLE ~~254~~295,~~850~~210 0 0 ---------- GRAND TOTAL $~~372~~383,~~995~~514

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