0001383816-13-000002.txt : 20131106 0001383816-13-000002.hdr.sgml : 20131106 20131106154848 ACCESSION NUMBER: 0001383816-13-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131106 DATE AS OF CHANGE: 20131106 EFFECTIVENESS DATE: 20131106 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CONCORDIA COFFEE CO INC CENTRAL INDEX KEY: 0001383816 IRS NUMBER: 030510501 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-205897 FILM NUMBER: 131196383 BUSINESS ADDRESS: STREET 1: 1287-120TH AVE NE CITY: BELLEVUE STATE: WA ZIP: 98005 BUSINESS PHONE: 425-953-2800 MAIL ADDRESS: STREET 1: 1287-120TH AVE NE CITY: BELLEVUE STATE: WA ZIP: 98005 D 1 primary_doc.xml X0707 D LIVE 0001383816 CONCORDIA COFFEE CO INC 1287-120TH AVE NE BELLEVUE WA WASHINGTON 98005 425-953-2800 WASHINGTON None None Corporation true David E. Isett 1287 120th Ave NE Bellevue WA WASHINGTON 98005 Executive Officer Director Ann Dimond 1287 120th Ave NE Bellevue WA WASHINGTON 98005 Executive Officer Wayne Stearns 1287 120th Ave NE Bellevue WA WASHINGTON 98005 Executive Officer Denise Evert 1287 120th Ave NE Bellevue WA WASHINGTON 98005 Executive Officer Gordon A. Gardiner 1287 120th Ave NE Bellevue WA WASHINGTON 98005 Director Heidi Sinclair 1287 120th Ave NE Bellevue WA WASHINGTON 98005 Director Kevin Gabelein 1287 120th Ave NE Bellevue WA WASHINGTON 98005 Director Robert Fanch 1287 120th Ave NE Bellevue WA WASHINGTON 98005 Director Manufacturing Decline to Disclose 06b false 2013-10-31 false true false 5187 1500000 1500000 0 false 9 0 0 0 false CONCORDIA COFFEE CO INC David E. Isett David E. Isett President 2013-11-06