0001677748-17-000001.txt : 20170103
0001677748-17-000001.hdr.sgml : 20170103
20170103100030
ACCESSION NUMBER: 0001677748-17-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20170103
DATE AS OF CHANGE: 20170103
EFFECTIVENESS DATE: 20170103
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Champlain Valley Dispensary, Inc.
CENTRAL INDEX KEY: 0001677748
IRS NUMBER: 000000000
STATE OF INCORPORATION: VT
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-277472
FILM NUMBER: 17500608
BUSINESS ADDRESS:
STREET 1: 70 S. WINOOSKI AVE. #284
CITY: BURLINGTON
STATE: VT
ZIP: 05401
BUSINESS PHONE: 844-283-9333
MAIL ADDRESS:
STREET 1: 70 S. WINOOSKI AVE. #284
CITY: BURLINGTON
STATE: VT
ZIP: 05401
D
1
primary_doc.xml
X0707
D
LIVE
0001677748
Champlain Valley Dispensary, Inc.
70 S. WINOOSKI AVE. #284
BURLINGTON
VT
VERMONT
05401
844-283-9333
VERMONT
None
None
Corporation
true
Shayne
Lynn
70 South Winooski Ave. #284
Burlington
VT
VERMONT
05401
Executive Officer
Director
Executive Director and Member of Board of Directors
Nina
Meyerhof
70 South Winooski Ave. #284
Burlington
VT
VERMONT
05401
Director
Member of Board of Directors
Nancy
Shaw
70 South Winooski Ave. #284
Burlington
VT
VERMONT
05401
Director
Member of Board of Directors
Other
Decline to Disclose
- 06b
false
2017-01-03
false
true
false
500000
500000
500000
0
false
1
0
0
0
false
Champlain Valley Dispensary, Inc.
/Pauline Law/
Pauline Law
Attorney in Fact
2017-01-03