0001591408-18-000047.txt : 20181213 0001591408-18-000047.hdr.sgml : 20181213 20181212185622 ACCESSION NUMBER: 0001591408-18-000047 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181213 DATE AS OF CHANGE: 20181212 EFFECTIVENESS DATE: 20181213 FILER: COMPANY DATA: COMPANY CONFORMED NAME: BLACKLIST HOLDINGS INC CENTRAL INDEX KEY: 0001761636 IRS NUMBER: 000000000 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-327785 FILM NUMBER: 181231843 BUSINESS ADDRESS: STREET 1: 1915 SOUTH M STREET CITY: TACOMA STATE: WA ZIP: 90840 BUSINESS PHONE: 253-682-8392 MAIL ADDRESS: STREET 1: 1915 SOUTH M STREET CITY: TACOMA STATE: WA ZIP: 90840 D 1 primary_doc.xml X0708 D LIVE 0001761636 BLACKLIST HOLDINGS INC 1915 S. M STREET TACOMA WA WASHINGTON 98409 253-999-3360 WASHINGTON BLACKLIST PARTNERS CORP IONIC INC THE BLACKLIST SYNDICATE INC None Corporation true 2014 JOHN GORST 2915 S. M STREET TACOMA WA WASHINGTON 98409 Executive Officer Director CHIEF EXECUTIVE OFFICER & DIRECTOR AUSTIN GORST 2915 S. M STREET TACOMA WA WASHINGTON 98409 Executive Officer Director VP OF BLACKLIST BRANDS OREGON & DIRECTOR SCOTT MANSON 2915 S. M STREET TACOMA WA WASHINGTON 98409 Executive Officer CHIEF FINANCIAL OFFICER BRYEN SALAS 2915 S. M STREET TACOMA WA WASHINGTON 98409 Executive Officer Director PRESIDENT & DIRECTOR ANDREW SCHELL 2915 S. M STREET TACOMA WA WASHINGTON 98409 Executive Officer CHIEF STRATEGY OFFICER & DIRECTOR CHRISTIAN STRUZAN 2915 S. M STREET TACOMA WA WASHINGTON 98409 Executive Officer Director CHIEF MARKETING OFFICER & DIRECTOR ZACH BELL 2915 S. M STREET TACOMA WA WASHINGTON 98409 Executive Officer CHIEF SCIENCE OFFICER JOHNNY STANGE 2915 S. M STREET TACOMA WA WASHINGTON 98409 Executive Officer CHIEF REVENUE OFFICER JOANNE SALAS 2915 S. M STREET TACOMA WA WASHINGTON 98409 Executive Officer CHIEF ADMINISTRATION OFFICER Other Decline to Disclose 06b false 2018-11-26 false true true true Convertible debentures automatically convert into common shares of Issuer prior to the closing of a share exchange transaction and all of the Issuer's outstanding common shares will be acquired by Zara Resources, Inc. in exchange for Zara common shares. 0 279072 279072 0 Represents $369,408 Canadian Dollars converted into USD at a rate of $1.00 CND to $0.75545819 USD false 6 0 0 0 false BLACKLIST HOLDINGS INC /s/ John Gorst JOHN GORST CHIEF EXECUTIVE OFFICER 2018-12-12