0001140361-17-013104.txt : 20170324
0001140361-17-013104.hdr.sgml : 20170324
20170323204642
ACCESSION NUMBER: 0001140361-17-013104
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: Rule 504(b)(1)(i)
FILED AS OF DATE: 20170324
DATE AS OF CHANGE: 20170323
EFFECTIVENESS DATE: 20170324
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Doc Burnstein's Ice Cream Lab, Inc.
CENTRAL INDEX KEY: 0001701657
IRS NUMBER: 203102168
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-283258
FILM NUMBER: 17711006
BUSINESS ADDRESS:
STREET 1: 114 W. BRANCH STREET
CITY: ARROYO GRANDE
STATE: CA
ZIP: 93420
BUSINESS PHONE: 805-474-4068
MAIL ADDRESS:
STREET 1: 114 W. BRANCH STREET
CITY: ARROYO GRANDE
STATE: CA
ZIP: 93420
D
1
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0001701657
Doc Burnstein's Ice Cream Lab, Inc.
114 W. BRANCH STREET
ARROYO GRANDE
CA
CALIFORNIA
93420
805-474-4068
CALIFORNIA
None
None
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true
GREG
STEINBERGER
114 W. BRANCH STREET
ARROYO GRANDE
CA
CALIFORNIA
93420
Executive Officer
Director
Chief Executive Officer; Director
JIM
RICHARDSON
75 WILLOW SPRINGS RD,STE. 202
GOLETA
CA
CALIFORNIA
93117
Executive Officer
Director
VICE CHAIR; DIRECTOR
TED
MALLEY
465 CANYON WAY
ARROYO GRANDE
CA
CALIFORNIA
93420
Executive Officer
Director
SECRETARY; DIRECTOR
CHUCK
ANDERS
1886 DEER CANYON ROAD
ARROYO GRANDE
CA
CALIFORNIA
93420
Executive Officer
Director
CHAIRMAN OF THE BOARD; DIRECTOR
SUSAN
KEITH
114 W. BRANCH STREET
ARROYO GRANDE
CA
CALIFORNIA
93420
Executive Officer
COO
Restaurants
Decline to Disclose
- 04.1
false
2017-03-14
false
true
false
5000
1000000
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true
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Doc Burnstein's Ice Cream Lab, Inc.
/s/ Greg Steinberger
GREG STEINBERGER
CHIEF EXECUTIVE OFFICER
2017-03-22