-----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, NokN6xuVSefghvzDcIu1AJFJEtF3YodSTzRKuX5wf6XpCdmTyNG7iCIYf33xVizT Hv0tE5sqwB14TcvgMEhG8A== 0001456043-09-000002.txt : 20090527 0001456043-09-000002.hdr.sgml : 20090527 20090526204246 ACCESSION NUMBER: 0001456043-09-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20090527 DATE AS OF CHANGE: 20090526 EFFECTIVENESS DATE: 20090527 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PREMIER GROCERY INC CENTRAL INDEX KEY: 0001456043 IRS NUMBER: 000000000 STATE OF INCORPORATION: CA FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-126848 FILM NUMBER: 09853043 BUSINESS ADDRESS: STREET 1: 11811 N TATUM BLVD STREET 2: SUITE 2400 CITY: PHOENIX STATE: AZ ZIP: 85028 BUSINESS PHONE: 480-814-8016 MAIL ADDRESS: STREET 1: 11811 N TATUM BLVD STREET 2: SUITE 2400 CITY: PHOENIX STATE: AZ ZIP: 85028 D/A 1 primary_doc.xml X0301 D/A LIVE 0001456043 PREMIER GROCERY INC 11811 N TATUM BLVD SUITE 2400 PHOENIX AZ 85028 480-814-8016 None CA Corporation true Bradley A. Denton 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ 85028 Executive Officer Shon Boney 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ 85028 Executive Officer Director Stan Boney 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ 85028 Executive Officer Director Kevin Easler 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ 85028 Executive Officer Director Scott Wing 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ 85028 Executive Officer Director Retailing $1,000,001 - $5,000,000 06 true 9999999997-09-006984 2009-01-12 false true false 25000 Thomas Foulds None None None 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ 85028 CA Chad Johnson None None None 6024 W. 89th Terrace Overland Park KS 66207 KS TX Jerry Stutler None None None 24522 W. Mark Lane Wittmann AZ 85361 CA Lauren Sommer None None None 5726 Trinity Place San Diego CA 92120 TX Gerry Flanigan None None None 47 Highland View Irvine CA 92603 CA CO UT Frank Coughlin None None None P.O. Box 231340 Encinitas CA 92023 CA ID VA Tom Bransky None None None 2519 N. Southport Chicago IL 60614 CA CO FL IL IN Jody Bransky None None None 6631 N. Washtenaw Ave. Chicago IL 60645-5003 CA CO FL IL IN Jennifer Alborn None None None 2935 W. Jarlath St. Chicago IL 60645-1215 CA CO FL IL IN Michael D. Strasser None None None 6607 S. Highland Park Drive Spokane WA 99223 AZ CA WA Horowitz Limited Partnership I None None None 27241 La Paz Road #B Laguna Niguel CA 92626 CA Jeff Strong None None None c/o Stong & Veleker, CPA's 345 F. Street, Suite 200 Chula Vista CA 91910 AZ CA Mark Spooner None None None 7130 North Via Nueva Scottsdale AZ 85258 AZ FL TX Jared Nichelson None None None 4571 Santa Cruz Ave. San Diego CA 92107-3516 CA Paul Butkiewicz None None None 2230 S. McClintock Tempe AZ 85282 AZ Lynda Sampedro None None None 431 Camino de Encanto Redondo Beach CA 90277 CA NV David Greenberg None None None 13374 Devon Drive Jamul CA 91935 CA Chad Miller None None None 2075 Acacia Drive San Marcos CA 92078 CA Dave Billings None None None 1473 Bottle Tree Encinitas CA 92024 AZ CA John Orth None None None 4839 E. Horseshoe Rd. Paradise Valley AZ 85253 AZ Marc Lantzman None None None P.O. Box 675621 Rancho Santa Fe CA 92067 CA Seth Brown None None None 9609 E. Poinsettia Scottsdale AZ 85260 AZ CA TX Rob Foley None None None 11437 E. Witethorn Dr. Scottsdale AZ 85262 CA Kurt Valentine None None None 4425 E. Wildwood Drive Phoenix AZ 85048 AZ Ken Lieberman None None None 1112 Hohlfelder Road Glencoe IL 60022 CA IL Neil Malkus None None None 2281 Canyon Dr. Unit A-2 Costa Mesa CA 92627 CA Dan Gardenswartz None None None 4221 Explorer Court La Mesa CA 91941 CA Craig Engler None None None 11385 Wild Meadow Pl. San Diego CA 92131 AZ Luis Sampedro None None None 431 Camino de Encanto Redondo Beach CA 90277 NV Eric Greenberg None None None 3963 Via Palo Verde Lago Alpine CA 91901 CA Diane Howe None None None 2641 Central Ave. Roseville CA 95747 CA 25000000 23017556 1982444 false 150 0 1000000 true Fees paid to Finders, if any, are subject to numerous contingencies, including authorization by the board of directors of the Issuer. The Issuer may engage Finders in the offering. 0 false PREMIER GROCERY INC Bradley A. Denton Bradley A. Denton Sr. Vice President and CFO 2009-05-22 -----END PRIVACY-ENHANCED MESSAGE-----