0001824194-21-000004.txt : 20210512 0001824194-21-000004.hdr.sgml : 20210512 20210512114720 ACCESSION NUMBER: 0001824194-21-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210512 DATE AS OF CHANGE: 20210512 EFFECTIVENESS DATE: 20210512 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lake to Table Inc. CENTRAL INDEX KEY: 0001824194 IRS NUMBER: 863269657 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-399088 FILM NUMBER: 21914217 BUSINESS ADDRESS: STREET 1: 3415 CHURCHILL STREET CITY: SHOREVIEW STATE: MN ZIP: 55126 BUSINESS PHONE: 612-256-4827 MAIL ADDRESS: STREET 1: 3415 CHURCHILL STREET CITY: SHOREVIEW STATE: MN ZIP: 55126 FORMER COMPANY: FORMER CONFORMED NAME: Lake to Table LLC DATE OF NAME CHANGE: 20200910 D 1 primary_doc.xml X0708 D LIVE 0001824194 Lake to Table Inc. 3415 CHURCHILL STREET SHOREVIEW MN MINNESOTA 55126 612-256-4827 DELAWARE Lake to Table LLC Corporation true 2018 Christina Dorr Drake 3415 Churchill Street Shoreview MN MINNESOTA 55126 Executive Officer Director Russell Drake 3415 Churchill Street Shoreview MN MINNESOTA 55126 Executive Officer Director Elena L. Zienda 3415 Churchill Street Shoreview MN MINNESOTA 55126 Director Other Decline to Disclose 06b false 2021-04-27 false true false 20000 1000000 20000 980000 false 1 0 0 100000 true false Lake to Table Inc. John T. Roberts John T. Roberts Legal Counsel to Issuer 2021-05-12