0001405086-13-000442.txt : 20131227 0001405086-13-000442.hdr.sgml : 20131227 20131227134427 ACCESSION NUMBER: 0001405086-13-000442 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131227 DATE AS OF CHANGE: 20131227 EFFECTIVENESS DATE: 20131227 FILER: COMPANY DATA: COMPANY CONFORMED NAME: JSI Holding Corp. CENTRAL INDEX KEY: 0001565021 IRS NUMBER: 461443215 STATE OF INCORPORATION: DE FISCAL YEAR END: 1212 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-208837 FILM NUMBER: 131300422 BUSINESS ADDRESS: STREET 1: C/O RFE INVESTMENT PARTNERS STREET 2: 36 GROVE STREET CITY: NEW CANAAN STATE: CT ZIP: 06840 BUSINESS PHONE: 203.966.2800 MAIL ADDRESS: STREET 1: C/O RFE INVESTMENT PARTNERS STREET 2: 36 GROVE STREET CITY: NEW CANAAN STATE: CT ZIP: 06840 D 1 primary_doc.xml X0707 D LIVE 0001565021 JSI Holding Corp. C/O RFE INVESTMENT PARTNERS 36 GROVE STREET NEW CANAAN CT CONNECTICUT 06840 203.966.2800 DELAWARE None None Corporation true 2012 Terry Awalt 140 Park Street Milo ME MAINE 04463 Executive Officer Director Edward Truslow 36 Grove Street New Canaan CT CONNECTICUT 06840 Executive Officer Director James Parsons 36 Grove Street New Canaan CT CONNECTICUT 06840 Director Dan Negrea 489 Fifth Avenue 21st Fl. New York NY NEW YORK 10017 Director Mark Awalt 140 Park Street Milo ME MAINE 04463 Executive Officer Kenneth Bush 140 Park Street Milo ME MAINE 04463 Executive Officer Gretel Seeley 140 Park Street Milo ME MAINE 04463 Executive Officer Paul Schilpp 36 Grove Street New Canaan CT CONNECTICUT 06840 Executive Officer Director Other Decline to Disclose 06b false 2013-12-13 false true false 0 1500000 1500000 0 true 0 5 0 0 0 false JSI Holding Corp. /s/Paul Schilpp Paul Schilpp Vice President and Assistant Secretary 2013-12-27