0001808815-21-000003.txt : 20210128 0001808815-21-000003.hdr.sgml : 20210128 20210128103213 ACCESSION NUMBER: 0001808815-21-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20210128 DATE AS OF CHANGE: 20210128 EFFECTIVENESS DATE: 20210128 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Billy Jack's Pizza Pub, Inc. CENTRAL INDEX KEY: 0001808815 IRS NUMBER: 845071744 STATE OF INCORPORATION: NE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-364572 FILM NUMBER: 21562616 BUSINESS ADDRESS: STREET 1: 2007 12TH AVE CITY: KEARNEY STATE: NE ZIP: 68845 BUSINESS PHONE: 402-310-6161 MAIL ADDRESS: STREET 1: 2007 12TH AVE CITY: KEARNEY STATE: NE ZIP: 68845 FORMER COMPANY: FORMER CONFORMED NAME: Left Lane Pizza & Pub, Inc. DATE OF NAME CHANGE: 20200408 D/A 1 primary_doc.xml X0708 D/A LIVE 0001808815 Billy Jack's Pizza Pub, Inc. 2007 12TH AVE KEARNEY NE NEBRASKA 68845 402-310-6161 NEBRASKA Left Lane Pizza & Pub, Inc. Corporation true 2020 Garrett Svoboda 6711 Ridge Road Lincoln NE NEBRASKA 68512 Promoter Kevin Keegan 7404 S 169th Street Omaha NE NEBRASKA 68136 Promoter Stephanie Winberg 2007 12th Ave Kearney NE NEBRASKA 68845 Executive Officer Director Phil Baldwin 5547 Coal Chute Road Kearney NE NEBRASKA 68847 Director Collin Nabity 2111 B Ave Kearney NE NEBRASKA 68847 Director Bill Jack Winberg 2007 12th Ave KEARNEY NE NEBRASKA 68845 Executive Officer Director Brian Benedict 117 Cortez St Sterling CO COLORADO 80751 Director Restaurants $1 - $1,000,000 04 06b 4a5 true 0001808815-20-000001 2020-04-01 false true false 5000 1000000 646300 353700 false 25 0 0 234000 true false Billy Jack's Pizza Pub, Inc. /s/ Bill Winberg Bill Winberg President 2021-01-28