0001217315-21-000001.txt : 20210616 0001217315-21-000001.hdr.sgml : 20210616 20210616112451 ACCESSION NUMBER: 0001217315-21-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210616 DATE AS OF CHANGE: 20210616 EFFECTIVENESS DATE: 20210616 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: 211020794 BUSINESS ADDRESS: STREET 1: 1235 NORTH DUTTON AVENUE, SUITE E CITY: SANTA ROSA STATE: CA ZIP: 95401 BUSINESS PHONE: 650-352-1300 MAIL ADDRESS: STREET 1: 1235 NORTH DUTTON AVENUE, SUITE E CITY: SANTA ROSA STATE: CA ZIP: 95401 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 650-352-1300 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 Nathaniel Chaney 1235 North Dutton Avenue, Suite E Santa Rosa CA CALIFORNIA 95401 Executive Officer REITS and Finance Decline to Disclose 06b true 0001217315-20-000001 2012-06-25 true true false 100000 Indefinite 234318520 Indefinite Class B 8% Cumulative Redeemable Preferred Stock false 328 0 0 0 false PROVIDENT MORTGAGE TRUST INC Michael Heren Michael Heren CAO 2021-06-16