0001929209-22-000001.txt : 20220518 0001929209-22-000001.hdr.sgml : 20220518 20220518144859 ACCESSION NUMBER: 0001929209-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220518 DATE AS OF CHANGE: 20220518 EFFECTIVENESS DATE: 20220518 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Amada Franchise, Inc. CENTRAL INDEX KEY: 0001929209 IRS NUMBER: 454381153 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-446107 FILM NUMBER: 22938600 BUSINESS ADDRESS: STREET 1: 901 CALLE AMANECER STREET 2: SUITE 350 CITY: SAN CLEMENTE STATE: CA ZIP: 92673 BUSINESS PHONE: 949-284-6305 MAIL ADDRESS: STREET 1: 901 CALLE AMANECER STREET 2: SUITE 350 CITY: SAN CLEMENTE STATE: CA ZIP: 92673 D 1 primary_doc.xml X0708 D LIVE 0001929209 Amada Franchise, Inc. 901 CALLE AMANECER SUITE 350 SAN CLEMENTE CA CALIFORNIA 92673 949-284-6305 DELAWARE None None Corporation true 2022 Faatafa Jefferson 901 Calle Amanecer Suite 350 San Clemente CA CALIFORNIA 92673 Executive Officer Director Chad Fotheringham 901 Calle Amanecer Suite 350 San Clemente CA CALIFORNIA 92673 Executive Officer Director Jared Turner 901 Calle Amanecer Suite 350 San Clemente CA CALIFORNIA 92673 Executive Officer Director Brett Stohlon 2755 E Cottonwood Pkwy Suite 400 Salt Lake City UT UTAH 84121 Director Alfred Grant Ingersoll 2755 E Cottonwood Pkwy Suite 400 Salt Lake City UT UTAH 84121 Director Other Health Care Decline to Disclose 06b false 2022-05-03 false true false 22400000 22400000 22400000 0 false 1 0 0 19800000 false Amada Franchise, Inc. Reece Bennett Reece Bennett Authorized Person 2022-05-18