0001693584-16-000001.txt : 20170103 0001693584-16-000001.hdr.sgml : 20170103 20161230191216 ACCESSION NUMBER: 0001693584-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170103 DATE AS OF CHANGE: 20161230 EFFECTIVENESS DATE: 20170103 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FieldVine, Inc. CENTRAL INDEX KEY: 0001693584 IRS NUMBER: 811112112 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-277456 FILM NUMBER: 162078309 BUSINESS ADDRESS: STREET 1: 601 21ST AVENUE NORTH CITY: MYRTLE BEACH STATE: SC ZIP: 29577 BUSINESS PHONE: 843-458-5362 MAIL ADDRESS: STREET 1: PO BOX 50165 CITY: MYRTLE BEACH STATE: SC ZIP: 29579 D 1 primary_doc.xml X0707 D LIVE 0001693584 FieldVine, Inc. 2999 Waccamaw Blvd. MYRTLE BEACH SC SOUTH CAROLINA 29579 843-458-5362 DELAWARE None None Corporation true 2016 Ray Antonino 2999 Waccamaw Blvd. Myrtle Beach SC SOUTH CAROLINA 29579 Executive Officer Director Promoter Rebecca Antonino 2999 Waccamaw Blvd. Myrtle Beach SC SOUTH CAROLINA 29579 Promoter Adam Michel 804 W. Morgan Street Apt. M2B Raleigh NC NORTH CAROLINA 27603 Promoter Other Technology Decline to Disclose 06b false 2016-12-19 false true true true true Promissory notes convertible into equity securities of the Issuer. false 0 250000 50000 200000 false 2 0 0 0 false FieldVine, Inc. /s/ Ray Antonino Ray Antonino CEO 2016-12-30