0001723866-17-000001.txt : 20171130 0001723866-17-000001.hdr.sgml : 20171130 20171130112209 ACCESSION NUMBER: 0001723866-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171130 DATE AS OF CHANGE: 20171130 EFFECTIVENESS DATE: 20171130 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Select Interior Concepts, Inc. CENTRAL INDEX KEY: 0001723866 IRS NUMBER: 474640296 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-299785 FILM NUMBER: 171230387 BUSINESS ADDRESS: STREET 1: 4900 EAST HUNTER AVENUE CITY: ANAHEIM STATE: CA ZIP: 92807 BUSINESS PHONE: (888)701-4737 MAIL ADDRESS: STREET 1: 4900 EAST HUNTER AVENUE CITY: ANAHEIM STATE: CA ZIP: 92807 D 1 primary_doc.xml X0708 D LIVE 0001723866 Select Interior Concepts, Inc. 4900 EAST HUNTER AVENUE ANAHEIM CA CALIFORNIA 92807 714-701-4200 DELAWARE Trive Capital G&M Blocker Corp. None Corporation true 2014 Tyrone Johnson c/o Select Interior Concepts, Inc. 4900 East Hunter Avenue Anaheim CA CALIFORNIA 92807 Executive Officer Director Chief Executive Officer & Director Kendall R. Hoyd c/o Select Interior Concepts, Inc. 4900 East Hunter Avenue Anaheim CA CALIFORNIA 92807 Executive Officer Chief Financial Officer Sunil Palakodati c/o Select Interior Concepts, Inc. 4900 East Hunter Avenue Anaheim CA CALIFORNIA 92807 Executive Officer President, ASG (Architectural Surfaces Group) (Subsidiary) Christopher Zugaro c/o Select Interior Concepts, Inc. 4900 East Hunter Avenue Anaheim CA CALIFORNIA 92807 Director Robert L. Antin c/o Select Interior Concepts, Inc. 4900 East Hunter Avenue Anaheim CA CALIFORNIA 92807 Director Donald F. McAleenan c/o Select Interior Concepts, Inc. 4900 East Hunter Avenue Anaheim CA CALIFORNIA 92807 Director Robert Scott Vansant c/o Select Interior Concepts, Inc. 4900 East Hunter Avenue Anaheim CA CALIFORNIA 92807 Director Construction Decline to Disclose 06b false 2017-11-15 false true true Shares of Class A Common Stock true Restructuring of Issuer 0 B. Riley FBR, Inc. 25027 None None 1300 North 17th Street Suite 1400 Arlington VA VIRGINIA 22209 AK ALASKA AZ ARIZONA AR ARKANSAS CA CALIFORNIA CO COLORADO CT CONNECTICUT DE DELAWARE DC DISTRICT OF COLUMBIA FL FLORIDA GA GEORGIA HI HAWAII IL ILLINOIS IN INDIANA LA LOUISIANA MN MINNESOTA MS MISSISSIPPI MO MISSOURI NV NEVADA NJ NEW JERSEY NY NEW YORK OH OHIO OK OKLAHOMA OR OREGON PA PENNSYLVANIA SC SOUTH CAROLINA TN TENNESSEE TX TEXAS VA VIRGINIA false 60006948 60006948 0 false 103 4200486 0 0 false Select Interior Concepts, Inc. /s/ Tyrone Johnson Tyrone Johnson Chief Executive Officer and Director 2017-11-29