0001526543-12-000001.txt : 20120131
0001526543-12-000001.hdr.sgml : 20120131
20120131142533
ACCESSION NUMBER: 0001526543-12-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: Rule 506
FILED AS OF DATE: 20120131
DATE AS OF CHANGE: 20120131
EFFECTIVENESS DATE: 20120131
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Green Ballast, Inc.
CENTRAL INDEX KEY: 0001526543
STANDARD INDUSTRIAL CLASSIFICATION: ELECTRIC LIGHTING & WIRING EQUIPMENT [3640]
IRS NUMBER: 451629984
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1211
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-172695
FILM NUMBER: 12558668
BUSINESS ADDRESS:
STREET 1: 2620 THOUSAND OAKS
STREET 2: SUITE 4000
CITY: MEMPHIS
STATE: TN
ZIP: 38118
BUSINESS PHONE: 901-260-4400
MAIL ADDRESS:
STREET 1: 2620 THOUSAND OAKS
STREET 2: SUITE 4000
CITY: MEMPHIS
STATE: TN
ZIP: 38118
D
1
primary_doc.xml
X0704
D
LIVE
0001526543
Green Ballast, Inc.
2620 THOUSAND OAKS
SUITE 4000
MEMPHIS
TN
TENNESSEE
38118
901-260-4400
DELAWARE
None
None
Corporation
true
2011
J.
Kevin
Adams
2620 Thousand Oaks
Suite 4000
Memphis
TN
TENNESSEE
38118
Executive Officer
Director
Promoter
Daniel
L.
Brown
2620 Thousand Oaks
Suite 4000
Memphis
TN
TENNESSEE
38118
Executive Officer
Director
Promoter
William
Bethell
2620 Thousand Oaks
Suite 4000
Memphis
TN
TENNESSEE
38118
Executive Officer
Director
Promoter
Kevin
Clarkson
2620 Thousand Oaks
Suite 4000
Memphis
TN
TENNESSEE
38118
Executive Officer
Director
Promoter
Mary
F.
Sharp
2620 Thousand Oaks
Suite 4000
Memphis
TN
TENNESSEE
38118
Director
John
H.
Lamberson, Jr.
2620 Thousand Oaks
Suite 4000
Memphis
TN
TENNESSEE
38118
Director
Peter
J.
Weisman
2620 Thousand Oaks
Suite 4000
Memphis
TN
TENNESSEE
38118
Director
Other
Decline to Disclose
- 06
false
2012-01-19
false
true
false
0
5000000
100000
4900000
false
1
0
0
0
false
Green Ballast, Inc.
/s/ J. Kevin Adams
J. Kevin Adams
Chief Executive Officer
2012-01-31