0001140361-16-087220.txt : 20161118 0001140361-16-087220.hdr.sgml : 20161118 20161118144355 ACCESSION NUMBER: 0001140361-16-087220 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161118 DATE AS OF CHANGE: 20161118 EFFECTIVENESS DATE: 20161118 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MOD Super Fast Pizza Holdings, LLC CENTRAL INDEX KEY: 0001598730 IRS NUMBER: 463348993 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-274813 FILM NUMBER: 162007499 BUSINESS ADDRESS: STREET 1: 12011 N.E. 1ST STREET STREET 2: BLDG. C, SUITE 202 CITY: BELLEVUE STATE: WA ZIP: 98005 BUSINESS PHONE: 425-455-1379 MAIL ADDRESS: STREET 1: 12011 N.E. 1ST STREET STREET 2: BLDG. C, SUITE 202 CITY: BELLEVUE STATE: WA ZIP: 98005 D 1 primary_doc.xml X0707 D LIVE 0001598730 MOD Super Fast Pizza Holdings, LLC 2035 158th Court NE, Suite 200 Bellevue WA WASHINGTON 98008 425-256-7619 DELAWARE None None Limited Liability Company true 2013 Scott Svenson c/o MOD Super Fast Pizza, LLC 2035 158th Court NE, Suite 200 Bellevue WA WASHINGTON 98008 Executive Officer Director Robert Barton c/o MOD Super Fast Pizza, LLC 2035 158th Court NE, Suite 200 Bellevue WA WASHINGTON 98008 Executive Officer Chris Schultz c/o MOD Super Fast Pizza, LLC 2035 158th Court NE, Suite 200 Bellevue WA WASHINGTON 98008 Executive Officer Allyson Svenson c/o MOD Super Fast Pizza, LLC 2035 158th Court NE, Suite 200 Bellevue WA WASHINGTON 98008 Director Jim Alling c/o MOD Super Fast Pizza, LLC 2035 158th Court NE, Suite 200 Bellevue WA WASHINGTON 98008 Director Chip Baird c/o Perella Weinberg Partners LP 767 Fifth Avenue New York NY NEW YORK 10153 Director David Ferguson c/o Perella Weinberg Partners LP 767 Fifth Avenue New York NY NEW YORK 10153 Director Nader Naini c/o MOD Super Fast Pizza, LLC 2035 158th Court NE, Suite 200 Bellevue WA WASHINGTON 98008 Director Lindsey Schwartz c/o MOD Super Fast Pizza, LLC 2035 158th Court NE, Suite 200 Bellevue WA WASHINGTON 98008 Director Restaurants Decline to Disclose 06b false 2016-11-03 false true false 0 44999979 37000138 7999841 false 6 0 0 0 false MOD Super Fast Pizza Holdings, LLC /s/ Robert Barton Robert Barton Chief Financial Officer 2016-11-17