0001104659-22-000891.txt : 20220104 0001104659-22-000891.hdr.sgml : 20220104 20220104160106 ACCESSION NUMBER: 0001104659-22-000891 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220104 DATE AS OF CHANGE: 20220104 EFFECTIVENESS DATE: 20220104 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Blackburn Energy, Inc. CENTRAL INDEX KEY: 0001809513 IRS NUMBER: 824250563 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-427823 FILM NUMBER: 22505695 BUSINESS ADDRESS: STREET 1: CI WORKS FACILITY STREET 2: 11 CHESTNUT STREET CITY: AMESBURY STATE: MA ZIP: 01913 BUSINESS PHONE: (800) 342-9194 MAIL ADDRESS: STREET 1: CI WORKS FACILITY STREET 2: 11 CHESTNUT STREET CITY: AMESBURY STATE: MA ZIP: 01913 D 1 primary_doc.xml X0708 D LIVE 0001809513 Blackburn Energy, Inc. CI WORKS FACILITY 11 CHESTNUT STREET AMESBURY MA MASSACHUSETTS 01913 (800) 342-9194 DELAWARE None None Corporation true 2017 Andrew Amigo CI Works Facility 11 Chestnut Street Amesbury MA MASSACHUSETTS 01913 Executive Officer Director Promoter Dan Tobin CI Works Facility 11 Chestnut Street Amesbury MA MASSACHUSETTS 01913 Director Other Decline to Disclose 06b false 2021-12-20 false true false 0 3000000 2956268 43732 Amount sold includes $680,323 of Notes converted to Series A Shares. false 21 0 0 0 false Blackburn Energy, Inc. /s/ Andrew Amigo Andrew Amigo Chief Executive Officer 2022-01-03