0001214659-22-001792.txt : 20220203 0001214659-22-001792.hdr.sgml : 20220203 20220203140719 ACCESSION NUMBER: 0001214659-22-001792 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220203 DATE AS OF CHANGE: 20220203 EFFECTIVENESS DATE: 20220203 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Hometown Provisions LLC CENTRAL INDEX KEY: 0001903537 IRS NUMBER: 872388862 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-432167 FILM NUMBER: 22587686 BUSINESS ADDRESS: STREET 1: 510 SAVAGE RD CITY: BELLEVILLE STATE: MI ZIP: 48111 BUSINESS PHONE: (734) 252-9071 MAIL ADDRESS: STREET 1: 510 SAVAGE RD CITY: BELLEVILLE STATE: MI ZIP: 48111 D 1 primary_doc.xml X0708 D LIVE 0001903537 Hometown Provisions LLC 510 SAVAGE RD BELLEVILLE MI MICHIGAN 48111 (734) 252-9071 MICHIGAN None None Limited Liability Company true 2021 Samuel Pernick 2515 W 13 Mile Rd #13 Royal Oak MI MICHIGAN 48073 Executive Officer Nicholas Rifel 39694 Birchwood Dr Plymouth MI MICHIGAN 48170 Executive Officer Retailing Decline to Disclose 06b false 2021-11-12 false true false 0 350000 350000 0 false 3 0 0 0 false Hometown Provisions LLC /s/ Nicholas Rifel Nicholas Rifel Chief Financial Officer 2022-02-02