0001094891-19-000117.txt : 20190522
0001094891-19-000117.hdr.sgml : 20190522
20190522104856
ACCESSION NUMBER: 0001094891-19-000117
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190521
FILED AS OF DATE: 20190522
DATE AS OF CHANGE: 20190522
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shape Andrew
CENTRAL INDEX KEY: 0001748801
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37808
FILM NUMBER: 19844598
MAIL ADDRESS:
STREET 1: C/O LONG BLOCKCHAIN CORP.
STREET 2: 12-1 DUBON COURT
CITY: FARMINGDALE
STATE: NY
ZIP: 11735
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Long Blockchain 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: 12-1 DUBON COURT
CITY: FARMINGDALE
STATE: NY
ZIP: 11735
BUSINESS PHONE: (855) 542-2832
MAIL ADDRESS:
STREET 1: 12-1 DUBON COURT
CITY: FARMINGDALE
STATE: NY
ZIP: 11735
FORMER COMPANY:
FORMER CONFORMED NAME: Long Island Iced Tea Corp.
DATE OF NAME CHANGE: 20141224
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2019-05-21
0001629261
Long Blockchain Corp.
LBCC
0001748801
Shape Andrew
C/O LONG BLOCKCHAIN CORP.
12-1 DUBON COURT
FARMINGDALE
NY
11735
1
1
0
0
Chief Executive Officer
Warrant (Right to Buy)
.25
2019-05-21
4
A
0
2000000
0
A
2019-01-18
2023-01-17
Common Stock
2000000
2000000
D
/s/ Andy Shape
2019-05-22