0001760497-21-000002.txt : 20210303 0001760497-21-000002.hdr.sgml : 20210303 20210303151716 ACCESSION NUMBER: 0001760497-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210303 DATE AS OF CHANGE: 20210303 EFFECTIVENESS DATE: 20210303 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Copper Cow Coffee, Inc. CENTRAL INDEX KEY: 0001760497 IRS NUMBER: 812501559 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-391128 FILM NUMBER: 21708646 BUSINESS ADDRESS: STREET 1: 3041 11TH AVE. CITY: LOS ANGELES STATE: CA ZIP: 90018 BUSINESS PHONE: 415-637-6014 MAIL ADDRESS: STREET 1: 3041 11TH AVE. CITY: LOS ANGELES STATE: CA ZIP: 90018 D 1 primary_doc.xml X0708 D LIVE 0001760497 Copper Cow Coffee, Inc. 3041 11th Ave. LOS ANGELES CA CALIFORNIA 90018 415-637-6014 DELAWARE None None Corporation true 2018 Deborah Wei Mullin 3041 11th Ave. Los Angeles CA CALIFORNIA 90018 Executive Officer Director Carolyn Farley 3041 11th Ave. Los Angeles CA CALIFORNIA 90018 Director Amanda Donohue-Hansen 3041 11th Ave. Los Angeles CA CALIFORNIA 90018 Director Manufacturing Decline to Disclose 06b false 2021-02-16 false true false 0 8460422 8460422 0 Total amount sold includes $2,460,424 issued upon the conversion of indebtedness. false 19 0 0 0 false Copper Cow Coffee, Inc. /s/ Deborah Wei Mullins Deborah Wei Mullin President and CEO 2021-03-03