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