0001104659-19-073496.txt : 20191217
0001104659-19-073496.hdr.sgml : 20191217
20191217182127
ACCESSION NUMBER: 0001104659-19-073496
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191216
FILED AS OF DATE: 20191217
DATE AS OF CHANGE: 20191217
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ZIPKIN LAURENCE S
CENTRAL INDEX KEY: 0001166727
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 814-00991
FILM NUMBER: 191290839
MAIL ADDRESS:
STREET 1: 701 XENIA AVE S.
STREET 2: SUITE 130
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55416
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Mill City Ventures III, Ltd
CENTRAL INDEX KEY: 0001425355
STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000]
IRS NUMBER: 900316651
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1907 WAYZATA BOULEVARD
STREET 2: SUITE 205
CITY: WAYZATA
STATE: MN
ZIP: 55391
BUSINESS PHONE: (952) 479-1923
MAIL ADDRESS:
STREET 1: 1907 WAYZATA BOULEVARD
STREET 2: SUITE 205
CITY: WAYZATA
STATE: MN
ZIP: 55391
FORMER COMPANY:
FORMER CONFORMED NAME: POKER MAGIC INC
DATE OF NAME CHANGE: 20080129
4
1
tm1926419d1_form4.xml
FORM 4
X0306
4
2019-12-16
0
0001425355
Mill City Ventures III, Ltd
MCVT
0001166727
ZIPKIN LAURENCE S
130 CHESHIRE LANE,
SUITE 203
MINNETONKA
MN
55305
1
0
0
0
Common Stock
2019-12-16
4
P
0
13075
0.50
A
20000
D
/s/ Laurence S. Zipkin
2019-12-17