0001739058-19-000001.txt : 20190719 0001739058-19-000001.hdr.sgml : 20190719 20190719132127 ACCESSION NUMBER: 0001739058-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190719 DATE AS OF CHANGE: 20190719 EFFECTIVENESS DATE: 20190719 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ametrine Wellness CENTRAL INDEX KEY: 0001739058 IRS NUMBER: 473553973 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-344687 FILM NUMBER: 19962938 BUSINESS ADDRESS: STREET 1: 1137 57TH AVENUE CITY: OAKLAND STATE: CA ZIP: 94621 BUSINESS PHONE: 4158522386 MAIL ADDRESS: STREET 1: 1137 57TH AVENUE CITY: OAKLAND STATE: CA ZIP: 94621 D 1 primary_doc.xml X0708 D LIVE 0001739058 Ametrine Wellness 1137 57TH AVENUE OAKLAND CA CALIFORNIA 94621 4158522386 CALIFORNIA None None Corporation true 2015 Ron Gershoni 1137 57TH AVENUE OAKLAND CA CALIFORNIA 94621 Executive Officer Director Chief Executive Officer Nathan Ferguson 1137 57th Avenue Oakland CA CALIFORNIA 94621 Executive Officer Director Secretary Robert Ferguson 1137 57th Avenue Oakland CA CALIFORNIA 94621 Executive Officer Chief Financial Officer Sanjay Tolia 1137 57th Avenue Oakland CA CALIFORNIA 94621 Director Manufacturing Decline to Disclose 06b false 2019-06-27 false true false 0 3560000 3560000 0 false 2 0 0 0 false Ametrine Wellness /s/ Ron Gershoni Ron Gershoni Chief Executive Officer 2019-07-18