-----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, LxfZcKmwhSYhbEh5LN4e/slYltFvvDfJfMe8KYDsd4ZZj01vvLamQ5lDqiBLkqmC /F+/+EUXlClQ5ywAwtRBow== 0001010549-05-000062.txt : 20050125 0001010549-05-000062.hdr.sgml : 20050125 20050125110940 ACCESSION NUMBER: 0001010549-05-000062 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050120 FILED AS OF DATE: 20050125 DATE AS OF CHANGE: 20050125 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Han Yongbin CENTRAL INDEX KEY: 0001315124 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-49712 FILM NUMBER: 05546240 BUSINESS ADDRESS: BUSINESS PHONE: (86-755) 8977-0093 MAIL ADDRESS: STREET 1: BAK INDUSTRIAL PAR, NO. 1 BAK STREET STREET 2: KUICHONG TOWN, LONGGANG DISTRICT CITY: SHENZHEN STATE: F4 ZIP: 518119 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MEDINA COFFEE INC CENTRAL INDEX KEY: 0001117171 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING & DRINKING PLACES [5810] IRS NUMBER: 880442833 STATE OF INCORPORATION: NV FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: BAK INDUSTRIAL PARK, NO. 1 BAK STREET STREET 2: KUICHONG TOWN, LONGGANG DISTRICT CITY: SHENZHEN PEOPLE'S STATE: F4 ZIP: 00000 BUSINESS PHONE: 86-755-8977-0093 MAIL ADDRESS: STREET 1: BAK INDUSTRIAL PARK, NO. 1 BAK STREET STREET 2: KUICHONG TOWN, LONGGANG DISTRICT CITY: SHENZHEN PEOPLE'S STATE: F4 ZIP: 00000 3 1 medina3han012105_ex.xml X0202 3 2005-01-20 0 0001117171 MEDINA COFFEE INC MCFF 0001315124 Han Yongbin BAK INDUSTRIAL PARK, NO. 1 BAK STREET KUICHONG TOWN, LONGGANG DISTRICT SHENZHEN, CHINA 0 1 0 0 CFO & Secretary Common Stock, $.001 par value per share 312256 D /s/ Yongbin Han 2005-01-20 -----END PRIVACY-ENHANCED MESSAGE-----