0001916990-22-000001.txt : 20220315 0001916990-22-000001.hdr.sgml : 20220315 20220315170331 ACCESSION NUMBER: 0001916990-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220315 DATE AS OF CHANGE: 20220315 EFFECTIVENESS DATE: 20220315 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Mid-State Restoration Holdings, LLC CENTRAL INDEX KEY: 0001916990 IRS NUMBER: 871822256 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-437423 FILM NUMBER: 22742086 BUSINESS ADDRESS: STREET 1: 1030 2ND STREET S STREET 2: SUITE 201 CITY: JACKSONVILLE BEACH STATE: FL ZIP: 33250 BUSINESS PHONE: 904-746-7027 MAIL ADDRESS: STREET 1: 1030 2ND STREET S STREET 2: SUITE 201 CITY: JACKSONVILLE BEACH STATE: FL ZIP: 33250 D 1 primary_doc.xml X0708 D LIVE 0001916990 Mid-State Restoration Holdings, LLC 1030 2ND STREET S SUITE 201 JACKSONVILLE BEACH FL FLORIDA 33250 904-746-7027 DELAWARE None None Limited Liability Company true 2021 Nick Ware 6015 W 56th Avenue Arvada CO COLORADO 80002 Executive Officer Darren Coughlin 809 E Commerce Drive St. George UT UTAH 84790 Executive Officer Michael Bender 21955 Grenada Avenue Lakeville MN MINNESOTA 55044 Executive Officer Mark Bilali 1030 2nd Street S Jacksonville Beach FL FLORIDA 33250 Executive Officer Director Scott Bruckmann 1030 2nd Street S Jacksonville Beach FL FLORIDA 33250 Director Carl Johnson 1030 2nd Street S Jacksonville Beach FL FLORIDA 33250 Director Daniel Strong 1030 2nd Street S Jacksonville Beach FL FLORIDA 33250 Director Construction Decline to Disclose 06b false 2022-03-03 false true true The membership interests in Mid-State Restoration Holdings, LLC ("Mid-State") were issued as part of the consideration for the acquisition by an indirect subsidiary of Mid-State for the equity interests of an unrelated entity that closed on March 3, 2022 500000 2000000 2000000 0 See item 10 for description of the offering true 4 4 0 0 0 false Mid-State Restoration Holdings, LLC Mark Bilali Mark Bilali Vice President 2022-03-15