0001375175-12-000002.txt : 20120223 0001375175-12-000002.hdr.sgml : 20120223 20120223120448 ACCESSION NUMBER: 0001375175-12-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120223 DATE AS OF CHANGE: 20120223 EFFECTIVENESS DATE: 20120223 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SAMBAZON INC CENTRAL INDEX KEY: 0001375175 IRS NUMBER: 841553989 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-171096 FILM NUMBER: 12632758 BUSINESS ADDRESS: STREET 1: 1160 CALLE CORDILLERA CITY: SAN CLEMENTE STATE: CA ZIP: 92673 BUSINESS PHONE: 949-498-8618 MAIL ADDRESS: STREET 1: 1160 CALLE CORDILLERA CITY: SAN CLEMENTE STATE: CA ZIP: 92673 D/A 1 primary_doc.xml X0704 D/A LIVE 0001375175 SAMBAZON INC 1160 CALLE CORDILLERA SAN CLEMENTE CA CALIFORNIA 92673 949-498-8618 DELAWARE None None Corporation true Ryan Black 1160 Calle Cordillera San Clemente CA CALIFORNIA 92673 Executive Officer Director John B. Elstrott, Jr. 1160 Calle Cordillera San Clemente CA CALIFORNIA 92673 Executive Officer Director Jeremy Black 1160 Calle Cordillera San Clemente CA CALIFORNIA 92673 Executive Officer Gregg Dunn 1160 Calle Cordillera San Clemente CA CALIFORNIA 92673 Executive Officer G. Scott Greenburg 925 Fourth Avenue Suite 2900 Seattle WA WASHINGTON 98104-1158 Executive Officer Mary Carpenito 1160 Calle Cordillera San Clemente CA CALIFORNIA 92673 Director Frederic De Mevius 1160 Calle Cordillera San Clemente CA CALIFORNIA 92673 Director Rivadavia C.H. De Gusmao 1160 Calle Cordillera San Clemente CA CALIFORNIA 92673 Director Renee Labran 1160 Calle Cordillera San Clemente CA CALIFORNIA 92673 Director Mark Retzloff 1160 Calle Cordillera San Clemente CA CALIFORNIA 92673 Director Retailing Decline to Disclose 06 true 0001375175-12-000001 2011-12-22 false true false 541 3500000 3156546 343454 false 29 0 0 0 false SAMBAZON INC G. Scott Greenburg G. Scott Greenburg Assistant Secretary 2012-02-22