0001703206-17-000002.txt : 20170407 0001703206-17-000002.hdr.sgml : 20170407 20170406184140 ACCESSION NUMBER: 0001703206-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20170407 DATE AS OF CHANGE: 20170406 EFFECTIVENESS DATE: 20170407 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fossil Records, LLC CENTRAL INDEX KEY: 0001703206 IRS NUMBER: 471171843 STATE OF INCORPORATION: CA FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-284274 FILM NUMBER: 17747197 BUSINESS ADDRESS: STREET 1: 290 FOSTER ROAD CITY: NAPA STATE: CA ZIP: 94558 BUSINESS PHONE: 402-690-1766 MAIL ADDRESS: STREET 1: 290 FOSTER ROAD CITY: NAPA STATE: CA ZIP: 94558 D 1 primary_doc.xml X0707 D LIVE 0001703206 Fossil Records, LLC 290 FOSTER ROAD NAPA CA CALIFORNIA 94558 402-690-1766 CALIFORNIA None None Limited Liability Company true 2014 Ryan Stetins 290 Foster Road Napa CA CALIFORNIA 94558 Executive Officer Managing Member Matt Stamp 290 Foster Road Napa CA CALIFORNIA 94558 Executive Officer Managing Member Other $1 - $1,000,000 04 06b 4a5 false 2016-10-20 false true false 50000 Stephanie Bluher None None None 2274 Schooner Street Lafayette CO COLORADO 80026 CO COLORADO false Amy M. Herold None None None 118 Cottage Cove Lane Napa CA CALIFORNIA 94559 CA CALIFORNIA false Robert E. & Linda J. Dressen None None None 1901 Wood Bridge Circle Papillion NE NEBRASKA 68046 NE NEBRASKA false Hayes Drumwright None None None 27 Calle Aveituna San Clemente CA CALIFORNIA 92618 CA CALIFORNIA false Ebzery Family Partnership LLC None None None 312 Whitney Lane Sheridan WY WYOMING 82801 WY WYOMING false William B. Ebzery Revocable Trust None None None 2351 West 11th St. Sheridan WY WYOMING 82801 WY WYOMING false Joseph & Kendall Hartman None None None 21 Eagle Ridge Drive Sheridan WY WYOMING 82801 WY WYOMING false William Jarvis None None None 2970 Monticello Road Napa CA CALIFORNIA 94558 CA CALIFORNIA false JPNAPA1, LLC None None None 730 N. Plankinton Avenue, Suite 1-A Milwaukee WI WISCONSIN 53203 WI WISCONSIN false Robert Klotz None None None 467 Filbert Street San Francisco CA CALIFORNIA 94133 CA CALIFORNIA false Adriel G. Lares Trust DTD 3-26-2008 None None None 301 Mission Street Unit 42D San Francisco CA CALIFORNIA 94105 CA CALIFORNIA false Randle Moore None None None 2807 Rippling Springs Court Manvel TX TEXAS 77578 TX TEXAS false Raymond Scott Heritage Trust UAD 11-30-2012 None None None 5432 Vincenza Way San Jose CA CALIFORNIA 95138 CA CALIFORNIA false 1000000 1000000 0 false 13 0 0 0 false Fossil Records, LLC /Matt Stamp/ Matt Stamp Managing Member 2017-03-17