0001217315-17-000001.txt : 20170623 0001217315-17-000001.hdr.sgml : 20170623 20170623110708 ACCESSION NUMBER: 0001217315-17-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170623 DATE AS OF CHANGE: 20170623 EFFECTIVENESS DATE: 20170623 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-180882 FILM NUMBER: 17926796 BUSINESS ADDRESS: STREET 1: 851 TRAEGER AVENUE, SUITE 100 CITY: SAN BRUNO STATE: CA ZIP: 94066 BUSINESS PHONE: 650-352-1300 MAIL ADDRESS: STREET 1: 851 TRAEGER AVENUE, SUITE 100 CITY: SAN BRUNO STATE: CA ZIP: 94066 D/A 1 primary_doc.xml X0707 D/A 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 Michael Heren 851 Traeger Avenue, Suite 100 San Bruno CA CALIFORNIA 94066 Executive Officer Director Michelle Blake 851 Traeger Avenue, Suite 100 San Bruno CA CALIFORNIA 94066 Executive Officer REITS and Finance Decline to Disclose 06b true 0001217315-16-000004 2012-06-25 true true false 100000 125000000 88121040 36878960 Class B 8% Cumulative Redeemable Preferred Stock false 138 0 0 0 false PROVIDENT MORTGAGE TRUST INC Keith Kandarian Keith Kandarian Attorney 2017-06-23