0001361924-16-000002.txt : 20160502 0001361924-16-000002.hdr.sgml : 20160502 20160502171114 ACCESSION NUMBER: 0001361924-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160502 DATE AS OF CHANGE: 20160502 EFFECTIVENESS DATE: 20160502 FILER: COMPANY DATA: COMPANY CONFORMED NAME: REVOLUTION FOODS, INC. CENTRAL INDEX KEY: 0001361924 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-262444 FILM NUMBER: 161612566 BUSINESS ADDRESS: STREET 1: 8383 CAPWELL DRIVE CITY: OAKLAND STATE: CA ZIP: 94621 BUSINESS PHONE: 510-596-9024 MAIL ADDRESS: STREET 1: 8383 CAPWELL DRIVE CITY: OAKLAND STATE: CA ZIP: 94621 FORMER COMPANY: FORMER CONFORMED NAME: REVOLUTION FOODS INC DATE OF NAME CHANGE: 20060505 D 1 primary_doc.xml X0707 D LIVE 0001361924 REVOLUTION FOODS, INC. 8393 CAPWELL DRIVE OAKLAND CA CALIFORNIA 94621 510-596-9024 DELAWARE REVOLUTION FOODS INC Corporation true KRISTIN GROOS RICHMOND 8393 CAPWELL DRIVE OAKLAND CA CALIFORNIA 94621 Executive Officer Director KIRSTEN TOBEY 8393 CAPWELL DRIVE OAKLAND CA CALIFORNIA 94621 Executive Officer Director MARK PERUTZ 8393 CAPWELL DRIVE OAKLAND CA CALIFORNIA 94621 Director JED SMITH 8393 CAPWELL DRIVE OAKLAND CA CALIFORNIA 94621 Director MICHAEL DORSEY 8393 CAPWELL DRIVE OAKLAND CA CALIFORNIA 94621 Director RICHARD SCHNEIDERS 8393 CAPWELL DRIVE OAKLAND CA CALIFORNIA 94621 Director GERALD GALLAGHER 8393 CAPWELL DRIVE OAKLAND CA CALIFORNIA 94621 Director Other Decline to Disclose 06b false 2016-04-15 false true false 0 1699998 1699998 0 false 4 0 0 0 true The proceeds will be used for general working capital purposes including the payment of payroll. The officers listed in item 3 will be among the Issuer's employees who may receive a portion of regularly scheduled salary from such proceeds. false REVOLUTION FOODS, INC. /s/ Kristin Groos Richmond Kristin Groos Richmond President and CEO 2016-05-02