0001752353-18-000002.txt : 20180914 0001752353-18-000002.hdr.sgml : 20180914 20180913175542 ACCESSION NUMBER: 0001752353-18-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180914 DATE AS OF CHANGE: 20180913 EFFECTIVENESS DATE: 20180914 FILER: COMPANY DATA: COMPANY CONFORMED NAME: In Bloom Holding, Inc. CENTRAL INDEX KEY: 0001752353 IRS NUMBER: 830791370 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-321339 FILM NUMBER: 181069708 BUSINESS ADDRESS: STREET 1: 6670 LIME STREET CITY: VANCOUVER STATE: A1 ZIP: V6P5V6 BUSINESS PHONE: 6046570788 MAIL ADDRESS: STREET 1: 6670 LIME STREET CITY: VANCOUVER STATE: A1 ZIP: V6P5V6 D 1 primary_doc.xml X0708 D LIVE 0001752353 In Bloom Holding, Inc. 6670 LIME STREET VANCOUVER A1 BRITISH COLUMBIA, CANADA V6P5V6 6046570788 DELAWARE None None Corporation true 2018 Alan Shuster 6670 Lime Street Vancouver A1 BRITISH COLUMBIA, CANADA V6P5V6 Executive Officer Director Jeff Brenner 155 Cumberland Street #113 Toronto A6 ONTARIO, CANADA M5R1A2 Executive Officer Director Retailing Decline to Disclose 06b false 2018-08-30 false true false 4762 2500000 1974960 525040 false 15 0 0 300000 true The payments listed in this Item 16 represent the aggregate salary payments to be made to the executive officers listed in Item 3 above for a one (1) year period. false In Bloom Holding, Inc. /s/ Alan Shuster Alan Shuster President 2018-09-13