0001104659-22-090311.txt : 20220812
0001104659-22-090311.hdr.sgml : 20220812
20220812215950
ACCESSION NUMBER: 0001104659-22-090311
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220811
FILED AS OF DATE: 20220812
DATE AS OF CHANGE: 20220812
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: 001-41472
FILM NUMBER: 221162037
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: SHORT-TERM BUSINESS CREDIT INSTITUTIONS [6153]
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
tm2223424d1_4.xml
OWNERSHIP DOCUMENT
X0306
4
2022-08-11
0
0001425355
Mill City Ventures III, Ltd
MCVT
0001166727
ZIPKIN LAURENCE S
10275 WAYZATA BOULEVARD, SUITE 100
MINNETONKA
MN
55305
1
0
0
0
Common Stock
36859
D
Common Stock
2022-08-11
4
A
0
15000
4.00
A
51859
D
All shares reported on this Form reflect a reverse stock split effected on August 9, 2022, pursuant to which every 2.25 shares issued and outstanding at that time were combined into one whole share, with any resulting fraction of a share rounded up to the nearest whole share.
Of the reported amount, 6,667 common shares are subject to forfeiture pursuant to a restricted stock agreement with the issuer. Forfeiture restrictions on those 6,667 common shares lapse on January 24, 2023.
/s/ Laurence S. Zipkin
2022-08-12