0001726443-17-000001.txt : 20171227 0001726443-17-000001.hdr.sgml : 20171227 20171227145657 ACCESSION NUMBER: 0001726443-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171227 DATE AS OF CHANGE: 20171227 EFFECTIVENESS DATE: 20171227 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Physician Made Beverages, LLC CENTRAL INDEX KEY: 0001726443 IRS NUMBER: 820798424 STATE OF INCORPORATION: SC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-301745 FILM NUMBER: 171276038 BUSINESS ADDRESS: STREET 1: 1476 SHORT STREET CITY: MOUNT PLEASANT STATE: SC ZIP: 29464 BUSINESS PHONE: 8433674652 MAIL ADDRESS: STREET 1: 1476 SHORT STREET CITY: MOUNT PLEASANT STATE: SC ZIP: 29464 D 1 primary_doc.xml X0708 D LIVE 0001726443 Physician Made Beverages, LLC 1476 SHORT STREET MOUNT PLEASANT SC SOUTH CAROLINA 29464 8433674652 SOUTH CAROLINA None None Limited Liability Company true 2015 Phillip B. Davis 1476 Short Street Mount Pleasant SC SOUTH CAROLINA 29464 Executive Officer Marie C. A. French 1476 Short Street Mount Pleasant SC SOUTH CAROLINA 29464 Executive Officer Other Decline to Disclose 06b false 2017-12-07 false true false 20000 300000 220000 80000 false 3 0 0 0 false Physician Made Beverages, LLC Nathan D. Johnson Nathan D. Johnson Corporate Secretary 2017-12-27