0001737076-19-000001.txt : 20190516 0001737076-19-000001.hdr.sgml : 20190516 20190516132306 ACCESSION NUMBER: 0001737076-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190516 DATE AS OF CHANGE: 20190516 EFFECTIVENESS DATE: 20190516 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pacific Light & Hologram, Inc. CENTRAL INDEX KEY: 0001737076 IRS NUMBER: 824222191 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-339771 FILM NUMBER: 19831616 BUSINESS ADDRESS: STREET 1: 601 MISSION STREET CITY: SOUTH PASADENA STATE: CA ZIP: 91030 BUSINESS PHONE: (310)866-2549 MAIL ADDRESS: STREET 1: 601 MISSION STREET CITY: SOUTH PASADENA STATE: CA ZIP: 91030 D 1 primary_doc.xml X0708 D LIVE 0001737076 Pacific Light & Hologram, Inc. 601 MISSION STREET SOUTH PASADENA CA CALIFORNIA 91030 6504616067 DELAWARE None None Corporation true 2018 Jonathan Seamus Blackley 601 Mission Street South Pasadena CA CALIFORNIA 91030 Executive Officer Director Gregory Papadopoulos 601 Mission Street South Pasadena CA CALIFORNIA 91030 Director Forest Baskett 601 Mission Street South Pasadena CA CALIFORNIA 91030 Director Cory Ondrejka 601 Mission Street South Pasadena CA CALIFORNIA 91030 Director Other Decline to Disclose 06b false 2019-04-29 false true false 0 35637260 17312259 18325001 false 3 0 0 0 false Pacific Light & Hologram, Inc. Jonathan Seamus Blackley Jonathan Seamus Blackley CEO 2019-05-15