0001859461-21-000001.txt : 20211201 0001859461-21-000001.hdr.sgml : 20211201 20211130203133 ACCESSION NUMBER: 0001859461-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211201 DATE AS OF CHANGE: 20211130 EFFECTIVENESS DATE: 20211201 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Madre Mezcal, Inc. CENTRAL INDEX KEY: 0001859461 IRS NUMBER: 812860422 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-423003 FILM NUMBER: 211460987 BUSINESS ADDRESS: STREET 1: 16550 AKRON STREET CITY: PACIFIC PALISADES STATE: CA ZIP: 90272 BUSINESS PHONE: 3109934030 MAIL ADDRESS: STREET 1: 16550 AKRON STREET CITY: PACIFIC PALISADES STATE: CA ZIP: 90272 D 1 primary_doc.xml X0708 D LIVE 0001859461 Madre Mezcal, Inc. 16550 AKRON STREET PACIFIC PALISADES CA CALIFORNIA 90272 3109934030 DELAWARE None None Corporation true Chris Stephenson 16550 Akron Street Pacific Palisades CA CALIFORNIA 90272 Executive Officer Director Davide Berruto 16550 Akron Street Pacific Palisades CA CALIFORNIA 90272 Executive Officer Director Anthony Farfalla 16550 Akron Street Pacific Palisades CA CALIFORNIA 90272 Executive Officer Director Stefan Erik Wigand 16550 Akron Street Pacific Palisades CA CALIFORNIA 90272 Director Anish Bhatia 100 Norfolk Street Suite 6B New York NY NEW YORK 10002 Director Other Decline to Disclose 06b false 2021-04-13 false true false 0 4627999 4627999 0 Includes conversion of $1,628,000 of SAFEs in addition to new capital raised from investors. false 39 0 0 0 true false Madre Mezcal, Inc. Chris Stephenson Chris Stephenson CEO 2021-11-30