0001808815-21-000005.txt : 20210805 0001808815-21-000005.hdr.sgml : 20210805 20210805142431 ACCESSION NUMBER: 0001808815-21-000005 CONFORMED SUBMISSION TYPE: D 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: 20210805 DATE AS OF CHANGE: 20210805 EFFECTIVENESS DATE: 20210805 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-408976 FILM NUMBER: 211147540 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 1 primary_doc.xml X0708 D 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 Bill Winberg 2007 12th Ave Kearney NE NEBRASKA 68845 Executive Officer Director Promoter Brian Benedict 117 Cortez St Sterling CO COLORADO 80751 Director 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 Garrett Svoboda 6711 Ridge Road Lincoln NE NEBRASKA 68512 Promoter Restaurants $1,000,001 - $5,000,000 04 06b 4a5 false true false true false 5000 5000000 0 5000000 false 0 0 0 72000 true false Billy Jack's Pizza Pub, Inc. /s/ Bill Winberg Bill Winberg President 2021-08-05