0001570091-14-000004.txt : 20141230 0001570091-14-000004.hdr.sgml : 20141230 20141229173302 ACCESSION NUMBER: 0001570091-14-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141230 DATE AS OF CHANGE: 20141229 EFFECTIVENESS DATE: 20141230 FILER: COMPANY DATA: COMPANY CONFORMED NAME: JAK Native, Inc. CENTRAL INDEX KEY: 0001570091 IRS NUMBER: 271760046 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-231003 FILM NUMBER: 141313617 BUSINESS ADDRESS: STREET 1: 3341 NORTH MOUNTAIN VIEW DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92116 BUSINESS PHONE: 760-943-6357 MAIL ADDRESS: STREET 1: P.O. BOX 230430 CITY: ENCINITAS STATE: CA ZIP: 92023 D 1 primary_doc.xml X0707 D LIVE 0001570091 JAK Native, Inc. 3341 NORTH MOUNTAIN VIEW DRIVE SAN DIEGO CA CALIFORNIA 92116 760-943-6357 CALIFORNIA None None Corporation true 2010 Jeffrey B. Hill 3341 North Mountain View Drive San Diego CA CALIFORNIA 92116 Executive Officer Director Chief Executive Officer, Director, Chairman of the Board Janellen Adolph 3341 North Mountain View Drive San Diego CA CALIFORNIA 92116 Executive Officer Director Director & President Diane Graber 3341 North Mountain View Drive San Diego CA CALIFORNIA 92116 Executive Officer Director Director, Secretary & Chief Financial Officer Peter Sackmann 3341 North Mountain View Drive San Diego CA CALIFORNIA 92116 Director James Fowler 3341 North Mountain View Drive San Diego CA CALIFORNIA 92116 Director Other Decline to Disclose 06b false 2014-12-18 false true true true true Common Stock and Warrants Offering false 0 500000 50000 450000 false 1 0 0 0 false JAK Native, Inc. /s/ Jeffrey B. Hill Jeffrey B. Hill Chief Executive Officer 2014-12-29