0001217315-19-000001.txt : 20190621 0001217315-19-000001.hdr.sgml : 20190621 20190621162735 ACCESSION NUMBER: 0001217315-19-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190621 DATE AS OF CHANGE: 20190621 EFFECTIVENESS DATE: 20190621 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: 19911835 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 X0708 D/A LIVE 0001217315 PROVIDENT MORTGAGE TRUST INC 1235 North Dutton Avenue Suite E Santa Rosa CA CALIFORNIA 95401 650-652-2960 MARYLAND None None Corporation true R Craig Pica 1235 North Dutton Avenue, Suite E Santa Rosa CA CALIFORNIA 95401 Executive Officer Director Michael Heren 1235 North Dutton Avenue, Suite E Santa Rosa CA CALIFORNIA 95401 Executive Officer Director Reese Milner 1235 North Dutton Avenue, Suite E Santa Rosa CA CALIFORNIA 95401 Executive Officer REITS and Finance Decline to Disclose 06b true 0001217315-18-000001 2012-06-25 true true false 100000 250000000 179978090 70021910 Class B 8% Cumulative Redeemable Preferred Stock false 236 0 0 0 false PROVIDENT MORTGAGE TRUST INC Michael Heren Michael Heren CAO 2019-06-21