0001802703-21-000002.txt : 20210507 0001802703-21-000002.hdr.sgml : 20210507 20210507150740 ACCESSION NUMBER: 0001802703-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210507 DATE AS OF CHANGE: 20210507 EFFECTIVENESS DATE: 20210507 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Proud Source Water, Inc. CENTRAL INDEX KEY: 0001802703 IRS NUMBER: 813237490 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-398626 FILM NUMBER: 21902122 BUSINESS ADDRESS: STREET 1: 426 S. 10TH STREET CITY: BOISE STATE: ID ZIP: 83702 BUSINESS PHONE: 208-629-9663 MAIL ADDRESS: STREET 1: 426 S. 10TH STREET CITY: BOISE STATE: ID ZIP: 83702 D 1 primary_doc.xml X0708 D LIVE 0001802703 Proud Source Water, Inc. 426 S. 10TH STREET BOISE ID IDAHO 83702 208-629-9663 DELAWARE None None Corporation true 2019 Carl James Pennington 426 S. 10th Street Boise ID IDAHO 83702 Executive Officer Director Carl Robert Pennington 426 S. 10th Street Boise ID IDAHO 83702 Director Ryan Donahue 426 S. 10th Street Boise ID IDAHO 83702 Executive Officer Director Jeff Heuple 426 S. 10th Street Boise ID IDAHO 83702 Director Other Decline to Disclose 06b false 2021-04-30 false true false 0 6500000 6500000 0 false 12 0 0 0 false Proud Source Water, Inc. /s/ Carl James Pennington Carl James Pennington President 2021-05-06