0001886638-21-000002.txt : 20211222 0001886638-21-000002.hdr.sgml : 20211222 20211222114203 ACCESSION NUMBER: 0001886638-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20211222 DATE AS OF CHANGE: 20211222 EFFECTIVENESS DATE: 20211222 FILER: COMPANY DATA: COMPANY CONFORMED NAME: North Lake Supply LLC CENTRAL INDEX KEY: 0001886638 IRS NUMBER: 833231736 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-426265 FILM NUMBER: 211512036 BUSINESS ADDRESS: STREET 1: 47 AUGUSTA HILL ROAD CITY: AUGUSTA STATE: NJ ZIP: 07822 BUSINESS PHONE: 5708071589 MAIL ADDRESS: STREET 1: 47 AUGUSTA HILL ROAD CITY: AUGUSTA STATE: NJ ZIP: 07822 D 1 primary_doc.xml X0708 D LIVE 0001886638 North Lake Supply LLC 47 AUGUSTA HILL ROAD AUGUSTA NJ NEW JERSEY 07822 5708071589 NEW JERSEY None None Limited Liability Company true 2019 Inna Kirikova 108 Snowshoe Drive Dingmans Ferry PA PENNSYLVANIA 18328 Executive Officer Aleksandr Kleynshvag 224 Highland Avenue Newton NJ NEW JERSEY 07860 Executive Officer Daniel Saita 200 Quarry Hills Drive Quincy MA MASSACHUSETTS 02169 Executive Officer Matthew Watkins 3001 Aljean Drive Bethel Park PA PENNSYLVANIA 15102 Executive Officer Charmaine Van Wingerden 47 Augusta Hill Road Augusta NJ NEW JERSEY 07822 Executive Officer Joshua Rivas 189 Skyview Road Dingmans Ferry PA PENNSYLVANIA 18328 Executive Officer Agriculture No Revenues 06b 4a5 false 2021-12-10 false true false 5000 500000 500000 0 true 9 12 0 0 18500 true Funds are being held in escrow pending Company obtaining a Class 1 Cultivator &/or Class 2 Manufacturer Cannabis License from NJ's CRC. Thirty days following licensure, Company will commence paying monthly executive salaries in the amount estimated above. false North Lake Supply LLC Aleksandr Kleynshvag Aleksandr Kleynshvag President 2021-12-22