0001688732-18-000002.txt : 20180720 0001688732-18-000002.hdr.sgml : 20180720 20180720160341 ACCESSION NUMBER: 0001688732-18-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180720 DATE AS OF CHANGE: 20180720 EFFECTIVENESS DATE: 20180720 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Mirth Provisions, Inc. CENTRAL INDEX KEY: 0001688732 IRS NUMBER: 811520090 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-317439 FILM NUMBER: 18962522 BUSINESS ADDRESS: STREET 1: 909 CALIFORNIA WAY CITY: LONGVIEW STATE: WA ZIP: 98632 BUSINESS PHONE: 3605197783 MAIL ADDRESS: STREET 1: 909 CALIFORNIA WAY CITY: LONGVIEW STATE: WA ZIP: 98632 D 1 primary_doc.xml X0708 D LIVE 0001688732 Mirth Provisions, Inc. 909 CALIFORNIA WAY LONGVIEW WA WASHINGTON 98632 3605197783 DELAWARE None None Corporation true 2016 Adam Stites 909 California Way Longview WA WASHINGTON 98632 Executive Officer Other Decline to Disclose 06b false 2018-06-26 false true false 50000 7500000 1300000 6200000 false 6 0 0 0 false Mirth Provisions, Inc. Adam Stites Adam Stites President 2018-07-20