-----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, I54Kp9Lkvttu8Gh5xw3xCq7P/O9bCEaX92PHLJwte1lwHyVNI6xwYXq0N3BZ1uCX 92YPpvsQIsqlWOoii9VH6Q== 0001221508-04-000045.txt : 20040610 0001221508-04-000045.hdr.sgml : 20040610 20040609182507 ACCESSION NUMBER: 0001221508-04-000045 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20040608 ITEM INFORMATION: Other events FILED AS OF DATE: 20040610 FILER: 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: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-49712 FILM NUMBER: 04856882 BUSINESS ADDRESS: STREET 1: P O BOX 741 CITY: BELLEVUE STATE: WA ZIP: 98009 BUSINESS PHONE: 4254530334 MAIL ADDRESS: STREET 1: P O BOX 741 CITY: BELLEVUE STATE: WA ZIP: 98009 8-K 1 form8k_june2004.htm FORM 8-K Form 8-K June 9, 2004

SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 8-K

CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934


Date of Report (Date of earliest event reported): June 8, 2004

 

MEDINA COFFEE, INC.
(Exact name of Registrant as specified in charter)


NEVADA
(State or other jurisdiction of incorporation)

 

000-49712

880442833

 
 

(Commission File Number)

 (IRS Employer Identification No.)

 

P.O. Box 741, Bellevue, Washington, 98009
(Address of principal executive offices)

Registrant's telephone number, including area code: 425-453-0355

 

ITEM 1. CHANGES IN CONTROL OF REGISTRANT

Not Applicable.

ITEM 2. ACQUISITION OR DISPOSITION OF ASSETS

Not Applicable.

ITEM 3. BANKRUPTCY OR RECEIVERSHIP

Not Applicable.

ITEM 4. CHANGES IN REGISTRANT'S CERTIFYING ACCOUNTANT

Not Applicable.


ITEM 5. OTHER EVENTS

On June 8th, 2004, Mr. Miller agreed to subscribe for, and the Corporation agreed to issue and allot, to Mr. Miller, 99,858 common shares in the capital of the Corporation (the "Shares") in full satisfaction of a debt, in the amount of $49,929, owed by the Corporation to Mr. Miller.

The Shares are issued subject to an exemption from registration and are therefore, restricted shares as that term is defined in the Securities Act of 1933.

ITEM 6. RESIGNATION OF DIRECTORS

Not Applicable.

ITEM 7. FINANCIAL STATEMENTS

Not Applicable.

ITEM 8. CHANGE IN FISCAL YEAR

Not Applicable.

ITEM 9. REGULATION FD DISCLOSURE

Not Applicable.

ITEM 10. AMENDMENTS TO REGISTRANT'S CODE OF ETHICS, OR WAIVER OF PROVISION OF CODE OF ETHICS

Not Applicable.

ITEM 11. TEMPORARY SUSPENSION OF TRADING UNDER REGISTRANT'S EMPLOYEE BENEFIT PLAN


Not Applicable.

ITEM 12. RESULTS OF OPERATIONS AND FINANCIAL CONDITION

Not Applicable.
 

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EXHIBITS

99.1 Press Release

SIGNATURE

Pursuant to the requirements of the Securities and Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
 

MEIDNA COFFEE, INC.


/s/ Harry Miller
_________________________________
By: Harry Miller, President and C.E.O.


Dated: June 10, 2004

 

 

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EX-99.1 2 pressrelease_june102004.htm PRESS RELEASE MEDINA COFFEE Press Release June 10, 2004

MEDINA COFFEE, INC.

OTCBB: MFCC

P.O. Box 74, Bellevue, WA 98009, United States. Phone: 425-453-0355

June 10, 2004 Press Release

Bellevue, WA (PRWEB) June 10, 2004 -- Medina Coffee, Inc. (OTCBB: MFCC) has entered into a shares for debt agreement with Harry Miller, the President and C.E.O. of the Corporation. The agreement provides for the Corporation issuing 99,858 common shares in the capital of the Corporation to Mr. Miller in full settlement of the debt owed in the amount of $49,929 at the price of $.50 per share.

Mr. Miller currently holds 902,100 common shares (approximately 86% of the issued and outstanding shares of the Corporation). The result of the agreement is to increase Mr. Miller's ownership in the Corporation by approximately 1%.

Mr. Miller has no current intention to acquire any additional securities of the Corporation.

 

For further information, contact:

Mr. Harry Miller, President & C.E.O.

Phone: 1-425-453-0355

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