0001376474-25-000517.txt : 20250606 0001376474-25-000517.hdr.sgml : 20250606 20250606111246 ACCESSION NUMBER: 0001376474-25-000517 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20250606 DATE AS OF CHANGE: 20250606 EFFECTIVENESS DATE: 20250606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Functional Mushroom Co LLC CENTRAL INDEX KEY: 0002071693 ORGANIZATION NAME: EIN: 853800213 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-548252 FILM NUMBER: 251029377 BUSINESS ADDRESS: STREET 1: 121 EAST 9TH AVENUE CITY: LONGMONT STATE: CO ZIP: 80504 BUSINESS PHONE: 3035068563 MAIL ADDRESS: STREET 1: 121 EAST 9TH AVENUE CITY: LONGMONT STATE: CO ZIP: 80504 D 1 primary_doc.xml X0708 D LIVE 0002071693 Functional Mushroom Co LLC 121 EAST 9TH AVENUE LONGMONT CO COLORADO 80504 303-506-8563 COLORADO None None Limited Liability Company true 2020 Del Jolly 121 East 9th. Avenue Longmont CO COLORADO 80504 Director Retailing $1,000,001 - $5,000,000 06c false 2021-01-27 true true false 10000 1070000 1070000 0 false 18 0 0 0 false Functional Mushroom Co LLC /s/ Del Jolly Del Jolly Director 2025-06-05