0001461859-20-000001.txt : 20200102 0001461859-20-000001.hdr.sgml : 20200102 20200102161337 ACCESSION NUMBER: 0001461859-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20200102 DATE AS OF CHANGE: 20200102 EFFECTIVENESS DATE: 20200102 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Green Zebra Grocery, Inc. CENTRAL INDEX KEY: 0001596134 IRS NUMBER: 464329441 STATE OF INCORPORATION: OR FISCAL YEAR END: 1102 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-356997 FILM NUMBER: 20501662 BUSINESS ADDRESS: STREET 1: 4926 SE DIVISION ST CITY: PORTLAND STATE: OR ZIP: 97213-1325 BUSINESS PHONE: 9712380919 MAIL ADDRESS: STREET 1: 4926 SE DIVISION ST CITY: PORTLAND STATE: OR ZIP: 97213-1325 D 1 primary_doc.xml X0708 D LIVE 0001596134 Green Zebra Grocery, Inc. 1001 SE Water Avenue Suite 430 Portland OR OREGON 97214 (503) 610-6124 OREGON None None Corporation true Lisa Sedlar 1001 SE Water Avenue Suite 430 Portland OR OREGON 97214 Executive Officer Director Adam Haber 1001 SE Water Avenue Suite 430 Portland OR OREGON 97214 Director Steve Elliot 1001 SE Water Avenue Suite 430 Portland OR OREGON 97214 Director Syd Hannigan 1001 SE Water Avenue Suite 430 Portland OR OREGON 97214 Director Jimmy Dusablon 1001 SE Water Avenue Suite 430 Portland OR OREGON 97214 Executive Officer Other Decline to Disclose 04 06b 4a5 false 2019-12-03 false true true false 0 2347860 2347860 0 false 1 0 0 0 false Green Zebra Grocery, Inc. /s/Lisa Sedlar Lisa Sedlar President 2020-01-02