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