schemaVersion:

Form C: Filer Information

Filer CIK:
0001802061 
Filer CCC:
XXXXXXXX 
Period:

12-31-2020 

Is this a LIVE or TEST Filing?Radio button checked LIVE Radio button not checked TEST
Is this an electronic copy of an official filing submitted in paper format in connection with a hardship exemption?Checkbox not checked
Would you like a Return Copy?Checkbox not checked

Submission Contact Information

Name:
 
Phone Number:
 
Contact E-Mail Address:
 
Notify via Filing Website only?Checkbox checked

Form C: Issuer Information

Issuer Information

Name of Issuer:

Lost Spirits Distillery, Inc. 

Legal Status of Issuer:

Form:

Corporation 

Jurisdiction of Incorporation/Organization:

DELAWARE  

Date of Incorporation/Organization:

01-21-2020 

Physical Address of Issuer:

Address 1:

6131 Malburg Way 

City:

Vernon 

State/Country:

CALIFORNIA  

Mailing Zip/Postal Code:

90058 

Website of Issuer:

http://Lostspirits.net 

Is there a Co-issuer? Radio button not checked Yes Radio button checked No

Form C: Annual Report Disclosure Requirements

Annual Report Disclosure Requirements

Current Number of Employees:

91 

Total Assets Most Recent Fiscal Year-end:

2498559.00 

Total Assets Prior Fiscal Year-end:

1661514.00 

Cash and Cash Equivalents Most Recent Fiscal Year-end:

100200.00 

Cash and Cash Equivalents Prior Fiscal Year-end:

124232.00 

Accounts Receivable Most Recent Fiscal Year-end:

4100.00 

Accounts Receivable Prior Fiscal Year-end:

4804.00 

Short-term Debt Most Recent Fiscal Year-end:

1559899.00 

Short-term Debt Prior Fiscal Year-end:

1219565.00 

Long-term Debt Most Recent Fiscal Year-end:

1537169.00 

Long-term Debt Prior Fiscal Year-end:

523606.00 

Revenue/Sales Most Recent Fiscal Year-end:

849495.00 

Revenue/Sales Prior Fiscal Year-end:

1589565.00 

Cost of Goods Sold Most Recent Fiscal Year-end:

187690.00 

Cost of Goods Sold Prior Fiscal Year-end:

338738.00 

Taxes Paid Most Recent Fiscal Year-end:

17115.00 

Taxes Paid Prior Fiscal Year-end:

19400.00 

Net Income Most Recent Fiscal Year-end:

-2429466.00 

Net Income Prior Fiscal Year-end:

-1833878.00 

Form C: Signature

Signature

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), the issuer certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form C and has duly caused this Form to be signed on its behalf by the duly authorized undersigned.

Issuer:

Lost Spirits Distillery, Inc. 

Signature:

Bryan Davis 

Title:

Co-Founder & CEO - Board Director 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Wynn Sanders 

Title:

COO 

Date:

03-15-2022 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Chester Brandes 

Title:

Managing Partner 

Date:

03-15-2022 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Bryan Davis 

Title:

Co-Founder & CEO - Board Director 

Date:

03-15-2022 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Joanne Haruta 

Title:

Co-founder, Board Member 

Date:

03-14-2022 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Stephen Williams 

Title:

CFO 

Date:

03-14-2022