0001636592-15-000001.txt : 20150320 0001636592-15-000001.hdr.sgml : 20150320 20150320152443 ACCESSION NUMBER: 0001636592-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150320 DATE AS OF CHANGE: 20150320 EFFECTIVENESS DATE: 20150320 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Product Verification Solutions, Inc. CENTRAL INDEX KEY: 0001636592 IRS NUMBER: 465507600 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-236368 FILM NUMBER: 15716179 BUSINESS ADDRESS: STREET 1: 11512 LAKE MEAD AVENUE, STE 104 CITY: JACKSONVILLE STATE: FL ZIP: 32256 BUSINESS PHONE: 904-363-6178 MAIL ADDRESS: STREET 1: 11512 LAKE MEAD AVENUE, STE 104 CITY: JACKSONVILLE STATE: FL ZIP: 32256 D 1 primary_doc.xml X0707 D LIVE 0001636592 Product Verification Solutions, Inc. 11512 LAKE MEAD AVENUE, STE 104 JACKSONVILLE FL FLORIDA 32256 904-363-6178 DELAWARE None None Corporation true 2014 BRUCE R KERN 11512 LAKE MEAD AVENUE, STE 104 JACKSONVILLE FL FLORIDA 32256 Executive Officer Director Business Services Decline to Disclose 06b false 2015-03-05 false true true true false 0 1000000 500000 500000 Sale of Convertible Unsecured Promissory Notes false 2 0 0 0 false Product Verification Solutions, Inc. s/ Bruce R. Kern Bruce R. Kern President 2015-03-20