0001144204-17-014180.txt : 20170313 0001144204-17-014180.hdr.sgml : 20170313 20170313133630 ACCESSION NUMBER: 0001144204-17-014180 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170313 DATE AS OF CHANGE: 20170313 EFFECTIVENESS DATE: 20170313 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Jack's Holdings LLC CENTRAL INDEX KEY: 0001699697 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-282386 FILM NUMBER: 17684697 BUSINESS ADDRESS: STREET 1: 138 WEST 10TH STREET CITY: NEW YORK STATE: NY ZIP: 10014 BUSINESS PHONE: 212-675-2007 MAIL ADDRESS: STREET 1: 138 WEST 10TH STREET CITY: NEW YORK STATE: NY ZIP: 10014 D 1 primary_doc.xml X0707 D LIVE 0001699697 Jack's Holdings LLC 138 W. 10TH STREET NEW YORK NY NEW YORK 10014 212-675-2007 DELAWARE None None Limited Liability Company true 2014 Jack Mazzola, Jr. c/o Jack's Holdings LLC 138 West 10th Street New York NY NEW YORK 10014 Executive Officer Director Jack Mazzola, Sr. c/o Jack's Holdings LLC 138 West 10th Street New York NY NEW YORK 10014 Director Richard Green, Jr. c/o Jack's Holdings LLC 138 West 10th Street New York NY NEW YORK 10014 Executive Officer Director Board of Directors Dean Janeway c/o Jack's Holdings LLC 138 West 10th Street New York NY NEW YORK 10014 Director Ronald Ricciardi c/o Jack's Holdings LLC 138 West 10th Street New York NY NEW YORK 10014 Director Friedlander Robert c/o Jack's Holdings LLC 138 West 10th Street New York NY NEW YORK 10014 Executive Officer Other Decline to Disclose 06b false 2017-02-28 false true false 0 2542500 2298000 244500 $742,500 of the Total Offering Amount and Total Amount Sold reflects shares issued pursuant to an automatic conversion of outstanding convertible promissory notes. false 24 0 0 0 false Jack's Holdings LLC /s/ Jack Mazzola, Jr. Jack Mazzola, Jr. President and CEO 2017-03-13