0001217315-22-000002.txt : 20221007 0001217315-22-000002.hdr.sgml : 20221007 20221007115649 ACCESSION NUMBER: 0001217315-22-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20221007 DATE AS OF CHANGE: 20221007 EFFECTIVENESS DATE: 20221007 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: 021-296430 FILM NUMBER: 221299839 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 0001217315-21-000002 2017-09-30 true true false 100000 250000000 45187770 204812230 false 118 0 0 0 false PROVIDENT MORTGAGE TRUST INC Michael Heren Michael Heren CAO 2022-10-07