0001783539-19-000001.txt : 20190726 0001783539-19-000001.hdr.sgml : 20190726 20190726122249 ACCESSION NUMBER: 0001783539-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190726 DATE AS OF CHANGE: 20190726 EFFECTIVENESS DATE: 20190726 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Counter Culture Coffee, Inc. CENTRAL INDEX KEY: 0001783539 IRS NUMBER: 000000000 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-345148 FILM NUMBER: 19976976 BUSINESS ADDRESS: STREET 1: 812 MALLARD AVENUE CITY: DURHAM STATE: NC ZIP: 27701 BUSINESS PHONE: 919-361-5282 MAIL ADDRESS: STREET 1: 812 MALLARD AVENUE CITY: DURHAM STATE: NC ZIP: 27701 D 1 primary_doc.xml X0708 D LIVE 0001783539 Counter Culture Coffee, Inc. 812 MALLARD AVENUE DURHAM NC NORTH CAROLINA 27701 919-361-5282 NORTH CAROLINA None None Corporation true BRETT R. SMITH 812 MALLARD AVENUE DURHAM NC NORTH CAROLINA 27701 Executive Officer Director Retailing Decline to Disclose 06b false 2019-07-12 false true false 0 1999998 1999998 0 false 2 0 0 0 None other than the payment of salary in the ordinary course of business to the person named in response to Item 3. false Counter Culture Coffee, Inc. /s/ Miranda R. Miller Miranda R. Miller Attorney-in-Fact 2019-07-26