0001931240-22-000001.txt : 20220603 0001931240-22-000001.hdr.sgml : 20220603 20220603143250 ACCESSION NUMBER: 0001931240-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220603 DATE AS OF CHANGE: 20220603 EFFECTIVENESS DATE: 20220603 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Origin Milk Co CENTRAL INDEX KEY: 0001931240 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-448081 FILM NUMBER: 22993943 BUSINESS ADDRESS: STREET 1: 143A CHURCH STREET NW CITY: VIENNA STATE: VA ZIP: 22180 BUSINESS PHONE: 3016420891 MAIL ADDRESS: STREET 1: 143A CHURCH STREET NW CITY: VIENNA STATE: VA ZIP: 22180 D 1 primary_doc.xml X0708 D LIVE 0001931240 Origin Milk Co 1209 Orange Street Wilmington DE DELAWARE 19801 216-406-7457 DELAWARE None None Corporation true 2019 Adrian Bota c/o The Origin Milk Company PO Box 360937 Strongsville OH OHIO 44136 Executive Officer Director John Suh c/o The Origin Milk Company PO Box 360937 Strongsville OH OHIO 44136 Executive Officer Other Decline to Disclose 06b false 2022-05-19 false true true Offer and sale of shares of preferred stock and the underlying shares of common stock issuable upon conversion thereof. false 0 1333350 1000000 333350 false 1 0 0 0 false Origin Milk Co Adrian Bota Adrian Bota Chief Executive Officer 2022-06-03