0001677898-16-000001.txt : 20160623 0001677898-16-000001.hdr.sgml : 20160623 20160622193239 ACCESSION NUMBER: 0001677898-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160623 DATE AS OF CHANGE: 20160622 EFFECTIVENESS DATE: 20160623 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Crystal Clear Technologies, Inc. CENTRAL INDEX KEY: 0001677898 IRS NUMBER: 201775968 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-265614 FILM NUMBER: 161727406 BUSINESS ADDRESS: STREET 1: 2828 SW CORBETT AVENUE, SUITE 211A CITY: PORTLAND STATE: OR ZIP: 97201 BUSINESS PHONE: 503.254.1452 MAIL ADDRESS: STREET 1: 2828 SW CORBETT AVENUE, SUITE 211A CITY: PORTLAND STATE: OR ZIP: 97201 D 1 primary_doc.xml X0707 D LIVE 0001677898 Crystal Clear Technologies, Inc. 2828 SW CORBETT AVENUE, SUITE 211A PORTLAND OR OREGON 97201 503.254.1452 CALIFORNIA None None Corporation true Ron Epperson 2828 SW Corbett Avenue, Suite 211A Portland OR OREGON 97201 Executive Officer Director Lisa Farmen 2828 SW Corbett Avenue, Suite 211A Portland OR OREGON 97201 Executive Officer Director Eunice Noell-Waggoner 2828 SW Corbett Avenue, Suite 211A Portland OR OREGON 97201 Executive Officer Director Other Decline to Disclose 06b false 2016-06-16 false true false 25000 750000 110000 640000 2016 Convertible Note Round false 2 0 0 0 false Crystal Clear Technologies, Inc. /s/Ron Epperson Ron Epperson President and CEO 2016-06-22