0001094891-17-000104.txt : 20170419 0001094891-17-000104.hdr.sgml : 20170419 20170419180215 ACCESSION NUMBER: 0001094891-17-000104 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170417 FILED AS OF DATE: 20170419 DATE AS OF CHANGE: 20170419 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Long Island Iced Tea Corp. CENTRAL INDEX KEY: 0001629261 STANDARD INDUSTRIAL CLASSIFICATION: BEVERAGES [2080] IRS NUMBER: 472624098 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 116 CHARLOTTE AVENUE CITY: HICKSVILLE STATE: NY ZIP: 11801 BUSINESS PHONE: (855) 542-2832 MAIL ADDRESS: STREET 1: 116 CHARLOTTE AVENUE CITY: HICKSVILLE STATE: NY ZIP: 11801 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Davidson Julian CENTRAL INDEX KEY: 0001676593 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37808 FILM NUMBER: 17770892 MAIL ADDRESS: STREET 1: 116 CHARLOTTE AVENUE CITY: HICKSVILLE STATE: NY ZIP: 11801 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2017-04-17 0001629261 Long Island Iced Tea Corp. LTEA 0001676593 Davidson Julian 116 CHARLOTTE AVENUE HICKSVILLE NY 11801 1 1 0 0 Executive Chairman Employee Stock Option (Right to Purchase) 4.50 2017-04-17 4 A 0 25000 0 A 2022-04-16 Common Stock 25000 25000 D The stock option vests in three equal annual installments commencing on April 17, 2017. /s/ Julian Davidson 2017-04-19