0001711589-17-000001.txt : 20170714 0001711589-17-000001.hdr.sgml : 20170714 20170714163911 ACCESSION NUMBER: 0001711589-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170714 DATE AS OF CHANGE: 20170714 EFFECTIVENESS DATE: 20170714 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Rustic Pizza, Inc. CENTRAL INDEX KEY: 0001711589 IRS NUMBER: 821454573 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-290811 FILM NUMBER: 17965853 BUSINESS ADDRESS: STREET 1: 261 TRINIDAD DRIVE CITY: TIBURON STATE: CA ZIP: 94920 BUSINESS PHONE: 4156131454 MAIL ADDRESS: STREET 1: 261 TRINIDAD DRIVE CITY: TIBURON STATE: CA ZIP: 94920 D 1 primary_doc.xml X0707 D LIVE 0001711589 Rustic Pizza, Inc. 261 TRINIDAD DRIVE TIBURON CA CALIFORNIA 94920 4156131454 DELAWARE None None Corporation true 2017 Thomas H. Wyman, Jr. 261 Trinidad Drive Tiburon CA CALIFORNIA 94920 Executive Officer Director Promoter CEO Robert Herbst 261 Trinidad Drive Tiburon CA CALIFORNIA 94920 Director Pic Walker 261 Trinidad Drive Tiburon CA CALIFORNIA 94920 Director Jeff Finegold 261 Trinidad Drive Tiburon CA CALIFORNIA 94920 Director Josh Fisher 261 Trinidad Drive Tiburon CA CALIFORNIA 94920 Director Thomas Atkin 261 Trinidad Drive Tiburon CA CALIFORNIA 94920 Director Promoter Karl Matthies 261 Trinidad Drive Tiburon CA CALIFORNIA 94920 Director Jon Gruber 261 Trinidad Drive Tiburon CA CALIFORNIA 94920 Director Michael McQuan 261 Trinidad Drive Tiburon CA CALIFORNIA 94920 Executive Officer Director Promoter Vice President Restaurants Decline to Disclose 06b false 2017-07-07 false true true Series A Preferred false 50000 1333320 1175000 158320 false 8 0 0 0 false Rustic Pizza, Inc. Thomas H. Wyman, Jr. Thomas H. Wyman, Jr. CEO 2017-07-14