0001217315-12-000002.txt : 20120709 0001217315-12-000002.hdr.sgml : 20120709 20120709141622 ACCESSION NUMBER: 0001217315-12-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120709 DATE AS OF CHANGE: 20120709 EFFECTIVENESS DATE: 20120709 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PROVIDENT MORTGAGE TRUST INC CENTRAL INDEX KEY: 0001217315 IRS NUMBER: 431971360 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-180882 FILM NUMBER: 12952871 BUSINESS ADDRESS: STREET 1: 1633 BAYSHORE HWY SUITE 150 CITY: BURLINGAME STATE: CA ZIP: 94010 BUSINESS PHONE: 650-352-1300 MAIL ADDRESS: STREET 1: 1633 BAYSHORE HWY SUITE 150 CITY: BURLINGAME STATE: CA ZIP: 94010 D 1 primary_doc.xml X0706 D LIVE 0001217315 PROVIDENT MORTGAGE TRUST INC 851 Traeger Avenue, Suite 100 San Bruno CA CALIFORNIA 94066 650-352-1300 MARYLAND None None Corporation true R Craig Pica 851 Traeger Avenue, Suite 100 San Bruno CA CALIFORNIA 94066 Executive Officer Director Promoter Michael Heren 851 Traeger Avenue, Suite 100 San Bruno CA CALIFORNIA 94066 Executive Officer Director Promoter Michelle Blake 851 Traeger Avenue, Suite 100 San Bruno CA CALIFORNIA 94066 Executive Officer REITS and Finance $5,000,001 - $25,000,000 06 false 2012-06-25 true true false 25000 100000000 100000 99900000 Class B 8% Cumulative Redeemable Preferred Stock false 1 0 0 0 false PROVIDENT MORTGAGE TRUST INC Keith Kandarian Keith Kandarian Attorney 2012-07-09