0001797422-22-000001.txt : 20220428 0001797422-22-000001.hdr.sgml : 20220428 20220428162458 ACCESSION NUMBER: 0001797422-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220428 DATE AS OF CHANGE: 20220428 EFFECTIVENESS DATE: 20220428 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-443759 FILM NUMBER: 22867044 BUSINESS ADDRESS: STREET 1: 2585 WISCONSIN 92 TRUNK CITY: MOUNT HOREB STATE: WI ZIP: 53572 BUSINESS PHONE: 608-709-8730 MAIL ADDRESS: STREET 1: 2585 WISCONSIN 92 TRUNK CITY: MOUNT HOREB STATE: WI ZIP: 53572 D 1 primary_doc.xml X0708 D LIVE 0001797422 American Provenance II, Inc. 2585 State Rd. 92 Ste. 2 MOUNT HOREB WI WISCONSIN 53572 608-437-2720 WISCONSIN None None Corporation true 2018 Kyle LaFond 2585 State Rd. 92 Ste. 2 Mount Horeb WI WISCONSIN 53572 Executive Officer Director Eric Bilenko 2585 State Rd. 92 Ste. 2 Mount Horeb WI WISCONSIN 53572 Director Gary Keider 2585 State Rd. 92 Ste. 2 Mount Horeb WI WISCONSIN 53572 Director Jonathan Berman 2585 State Rd. 92 Ste. 2 Mount Horeb WI WISCONSIN 53572 Director Ben Raboine 2585 State Rd. 92 Ste. 2 Mount Horeb WI WISCONSIN 53572 Director Manufacturing Decline to Disclose 06b false 2021-12-07 false true false 0 500000 357992 142008 false 5 0 0 0 false American Provenance II, Inc. Kyle LaFond Kyle LaFond President 2022-04-28