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 primary_doc.xml X0707 D LIVE 0001701657 Doc Burnstein's Ice Cream Lab, Inc. 114 W. BRANCH STREET ARROYO GRANDE CA CALIFORNIA 93420 805-474-4068 CALIFORNIA None None Corporation 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 0 1000000 true 4 13 0 0 0 false Doc Burnstein's Ice Cream Lab, Inc. /s/ Greg Steinberger GREG STEINBERGER CHIEF EXECUTIVE OFFICER 2017-03-22