0001595717-14-000001.txt : 20140102 0001595717-14-000001.hdr.sgml : 20140101 20140102155353 ACCESSION NUMBER: 0001595717-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20140102 DATE AS OF CHANGE: 20140102 EFFECTIVENESS DATE: 20140102 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Country Rose, Inc. CENTRAL INDEX KEY: 0001595717 IRS NUMBER: 464217353 STATE OF INCORPORATION: AZ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-209149 FILM NUMBER: 14501733 BUSINESS ADDRESS: STREET 1: 975 S GROUSE LANE CITY: WISCONSIN DELLS STATE: WI ZIP: 53965 BUSINESS PHONE: 608-253-2780 MAIL ADDRESS: STREET 1: P.O. BOX 10 CITY: LAKE DELTON STATE: WI ZIP: 53940 D 1 primary_doc.xml X0707 D LIVE 0001595717 Country Rose, Inc. 975 S GROUSE LANE WISCONSIN DELLS WI WISCONSIN 53965 608-253-2780 ARIZONA None None Corporation true 2013 Thomas E Wakefield PO Box 10 Lake Delton WI WISCONSIN 53940 Executive Officer Director John M Herman 879 Bascom Hill Drive Baraboo WI WISCONSIN 53913 Executive Officer Director Carissa Rose 2910 S Greenfield Rd Apt 3118 Gilbert AZ ARIZONA 85295-2195 Executive Officer Director Restaurants $1,000,001 - $5,000,000 06b 4a5 false 2013-12-23 false true false 5000 20000 20000 0 false 4 0 0 0 false Country Rose, Inc. Thomas Wakefield Thomas Wakefield President 2014-01-02