0001104659-20-101496.txt : 20200901 0001104659-20-101496.hdr.sgml : 20200901 20200901182005 ACCESSION NUMBER: 0001104659-20-101496 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200825 FILED AS OF DATE: 20200901 DATE AS OF CHANGE: 20200901 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POLINSKY DOUGLAS MICHAEL CENTRAL INDEX KEY: 0001394819 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 811-22778 FILM NUMBER: 201155300 MAIL ADDRESS: STREET 1: 130 LAKE ST. WEST CITY: WAYZATA STATE: MN ZIP: 55391 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 tm2030002-1_4.xml OWNERSHIP DOCUMENT X0306 4 2020-08-25 0 0001425355 Mill City Ventures III, Ltd MCVT 0001394819 POLINSKY DOUGLAS MICHAEL 1907 WAYZATA BLVD., SUITE 205 WAYZATA MN 55391 1 1 0 0 Chief Executive Officer Common Stock 69411 I By Great North Capital Corp. Common Stock 290055 I By Lantern Advisers LLC Common Stock 378705 D Common Stock 2020-08-25 4 A 0 50000 0.61 A 428705 D A Minnesota corporation of which the reporting person is the Chief Executive Officer. A Minnesota limited liability company of which the reporting person is a member and manager. The reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest. /s/ Douglas M. Polinsky 2020-09-01