0001962405-23-000001.txt : 20230202 0001962405-23-000001.hdr.sgml : 20230202 20230202165257 ACCESSION NUMBER: 0001962405-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230202 DATE AS OF CHANGE: 20230202 EFFECTIVENESS DATE: 20230202 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Evergreen Annuity Co CENTRAL INDEX KEY: 0001962405 IRS NUMBER: 871639897 STATE OF INCORPORATION: MI FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-472483 FILM NUMBER: 23581895 BUSINESS ADDRESS: STREET 1: 2232 S. MAIN ST. STREET 2: STE 541 CITY: ANN ARBOR STATE: MI ZIP: 48103 BUSINESS PHONE: 800-943-1720 MAIL ADDRESS: STREET 1: 2232 S. MAIN ST. STREET 2: STE 541 CITY: ANN ARBOR STATE: MI ZIP: 48103 D 1 primary_doc.xml X0708 D LIVE 0001962405 Evergreen Annuity Co 2232 S. MAIN ST. STE 541 ANN ARBOR MI MICHIGAN 48103 800-943-1720 MICHIGAN None None Corporation true 2021 Jasnik Parmar 2232 S. Main St. Suite 541 Ann Arbor MI MICHIGAN 48103 Executive Officer Director CEO Anthony Cloutier 2232 S. Main St. Suite 541 Ann Arbor MI MICHIGAN 48103 Executive Officer Chief Information Officer Mackenzie Chrystal 2232 S. Main St. Suite 541 Ann Arbor MI MICHIGAN 48103 Executive Officer Chief Operating Officer Lonie Moore 2232 S. Main St. Suite 541 Ann Arbor MI MICHIGAN 48103 Executive Officer Chief Financial Officer Insurance Decline to Disclose 06b false 2023-01-31 false true SAFEs false 50000 Pickwick Capital Partners, LLC 130672 None None 445 Hamilton Avenue Suite 1102 White Plains NY NEW YORK 10601 AZ ARIZONA CA CALIFORNIA CT CONNECTICUT DC DISTRICT OF COLUMBIA FL FLORIDA GA GEORGIA IL ILLINOIS LA LOUISIANA MA MASSACHUSETTS MI MICHIGAN MN MINNESOTA NJ NEW JERSEY NY NEW YORK NC NORTH CAROLINA TN TENNESSEE TX TEXAS UT UTAH VA VIRGINIA WA WASHINGTON false 3000000 600000 2400000 false 7 21250 true 0 true Fee and common shares each equal to 5% of amount invested as a result of solicitation by Pickwick and 2.5% of amount invested as a result of the Company's efforts. 0 true false Evergreen Annuity Co /s/ Jasnik Parmar Jasnik Parmar CEO 2023-02-02