0001797422-21-000001.txt : 20210330 0001797422-21-000001.hdr.sgml : 20210330 20210330114038 ACCESSION NUMBER: 0001797422-21-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20210330 DATE AS OF CHANGE: 20210330 EFFECTIVENESS DATE: 20210330 FILER: COMPANY DATA: COMPANY CONFORMED NAME: American Provenance II, Inc. CENTRAL INDEX KEY: 0001797422 IRS NUMBER: 830629597 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-356524 FILM NUMBER: 21784537 BUSINESS ADDRESS: STREET 1: 2585 STATE ROAD 92 STREET 2: SUITE 2 CITY: MOUNT HOREB STATE: WI ZIP: 53572 BUSINESS PHONE: 608-709-8730 MAIL ADDRESS: STREET 1: 2585 STATE ROAD 92 STREET 2: SUITE 2 CITY: MOUNT HOREB STATE: WI ZIP: 53572 D/A 1 primary_doc.xml X0708 D/A LIVE 0001797422 American Provenance II, Inc. 2585 STATE ROAD 92 SUITE 2 MOUNT HOREB WI WISCONSIN 53572 608-709-8730 WISCONSIN None None Corporation true 2018 Kyle LaFond 9873 Blue Valley Road Mount Horeb WI WISCONSIN 53572 Executive Officer Director Tim Daley 4126 Meyer Ave Madison WI WISCONSIN 53711 Executive Officer Gary Keider 900 Windward Court Neenah WI WISCONSIN 54956 Director James Henige 7725 S Quincy Street Willowbrook IL ILLINOIS 60527 Director Retailing Decline to Disclose 06c true 0001797422-19-000001 2019-12-17 true true false 25000 1000000 500000 500000 false 1 0 0 60000 true Approximately 6% of gross proceeds of the offering is expected to be used for salary of executive officers. false American Provenance II, Inc. Kyle LaFond Kyle LaFond Chief Executive Officer 2021-03-30