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FORM C | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 | OMB APPROVAL |
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Form C: Filer Information
Filer CIK: | 0001517121 |
Filer CCC: | XXXXXXXX |
Is this a LIVE or TEST Filing? | LIVE TEST |
Is this an electronic copy of an official filing submitted in paper format in connection with a hardship exemption? | |
Would you like a Return Copy? |
Submission Contact Information
Name: | |
Phone Number: | |
Contact E-Mail Address: | |
Notify via Filing Website only? |
Form C: Issuer Information
Issuer Information
Name of Issuer: | Fireman's Brew, Inc. |
Legal Status of Issuer:
Form: | Corporation |
Jurisdiction of Incorporation/Organization: | CALIFORNIA |
Date of Incorporation/Organization: | 08-03-2004 |
Physical Address of Issuer:
Address 1: | 6433 Topanga Canyon Building 189 |
City: | Woodland Hills |
State/Country: | CALIFORNIA |
Mailing Zip/Postal Code: | 91302 |
Website of Issuer: | http://www.firemansbrew.com |
CIK: | 0001670254 |
Company Name: | Wefunder Portal LLC |
Commission File Number: | 007-00033 |
CRD Number: | 283503 |
Form C: Offering Information
Offering Information
Amount of compensation to be paid to the intermediary, whether as a dollar amount or a percentage of the offering amount, or a good faith estimate if the exact amount is not available at the time of the filing, for conducting the offering, including the amount of referral and any other fees associated with the offering: | 5.0% of the offering amount upon a successful fundraise, and be entitled to reimbursement for out-of-pocket third party expenses it pays or incurs on behalf of the Issuer in connection with the offering. |
Any other financial interest in the issuer held by the intermediary, or any arrangement for the intermediary to acquire such an interest: | Securities equal to 2.0% of the securities sold will be issued to the intermediary upon a successful fundraise. |
Type of Security Offered: | Preferred Stock |
Specify: |
Target Number of Securities to be Offered: | 30000 |
Price: | 5.00000 |
Price (or Method for Determining Price): | 30,000 shares at $5 per share |
Target Offering Amount: | 150000.00 |
Maximum Offering Amount (if different from Target Offering Amount): | 1000000.00 |
Oversubscriptions Accepted: | Yes No |
If yes, disclose how oversubscriptions will be allocated: | Other |
Provide a description: | As determined by the issuer |
Deadline to reach the Target Offering Amount: | 05-03-2018 |
NOTE: If the sum of the investment commitments does not equal or exceed the target offering amount at the offering deadline, no securities will be sold in the offering, investment commitments will be cancelled and committed funds will be returned.
Form C: Annual Report Disclosure Requirements
Annual Report Disclosure Requirements
Current Number of Employees: | 3 |
Total Assets Most Recent Fiscal Year-end: | 298385.00 |
Total Assets Prior Fiscal Year-end: | 637418.00 |
Cash and Cash Equivalents Most Recent Fiscal Year-end: | 15724.00 |
Cash and Cash Equivalents Prior Fiscal Year-end: | 276772.00 |
Accounts Receivable Most Recent Fiscal Year-end: | 44581.00 |
Accounts Receivable Prior Fiscal Year-end: | 94569.00 |
Short-term Debt Most Recent Fiscal Year-end: | 72296.00 |
Short-term Debt Prior Fiscal Year-end: | 66443.00 |
Long-term Debt Most Recent Fiscal Year-end: | 0.00 |
Long-term Debt Prior Fiscal Year-end: | 0.00 |
Revenue/Sales Most Recent Fiscal Year-end: | 442853.00 |
Revenue/Sales Prior Fiscal Year-end: | 604555.00 |
Cost of Goods Sold Most Recent Fiscal Year-end: | 410087.00 |
Cost of Goods Sold Prior Fiscal Year-end: | 511589.00 |
Taxes Paid Most Recent Fiscal Year-end: | 800.00 |
Taxes Paid Prior Fiscal Year-end: | 800.00 |
Net Income Most Recent Fiscal Year-end: | -609571.00 |
Net Income Prior Fiscal Year-end: | -1007333.00 |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | ALABAMA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | ALASKA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | ARIZONA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | ARKANSAS |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | CALIFORNIA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | COLORADO |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | CONNECTICUT |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | DELAWARE |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | DISTRICT OF COLUMBIA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | FLORIDA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | GEORGIA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | HAWAII |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | IDAHO |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | ILLINOIS |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | INDIANA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | IOWA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | KANSAS |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | KENTUCKY |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | LOUISIANA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | MAINE |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | MARYLAND |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | MASSACHUSETTS |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | MICHIGAN |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | MINNESOTA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | MISSISSIPPI |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | MISSOURI |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | MONTANA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | NEBRASKA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | NEVADA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | NEW HAMPSHIRE |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | NEW JERSEY |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | NEW MEXICO |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | NEW YORK |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | NORTH CAROLINA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | NORTH DAKOTA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | OHIO |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | OKLAHOMA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | OREGON |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | PENNSYLVANIA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | RHODE ISLAND |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | SOUTH CAROLINA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | SOUTH DAKOTA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | TENNESSEE |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | TEXAS |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | UTAH |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | VERMONT |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | VIRGINIA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | WASHINGTON |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | WEST VIRGINIA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | WISCONSIN |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | WYOMING |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | AMERICAN SAMOA |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | GUAM |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | PUERTO RICO |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | VIRGIN ISLANDS, U.S. |
Using the list below, select the jurisdictions in which the issuer intends to offer the securities: | NORTHERN MARIANA ISLANDS |
Form C: Signature
Signature
Issuer: | Fireman's Brew, Inc. |
Signature: | David Johnson |
Title: | COO/CFO |
Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.
Signature: | Thomas Nikosey |
Title: | CCO/Branding |
Date: | 11-19-2017 |
Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.
Signature: | Christopher Allender |
Title: | Promotions Director |
Date: | 11-17-2017 |
Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.
Signature: | Robert Nowaczyk |
Title: | Founder/Chairman |
Date: | 11-17-2017 |
Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.
Signature: | Daniel Johnson |
Title: | President |
Date: | 11-17-2017 |
Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.
Signature: | Roger Baer |
Title: | CEO |
Date: | 11-17-2017 |
Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.
Signature: | David Johnson |
Title: | COO/CFO |
Date: | 11-17-2017 |