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Cloud Cover Media Inactive C/ACrowdfunding $50K to $1.07M in Simple Agreement for Future Equity (SAFE)

Filed: 24 Jan 18, 12:00am

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Form C: Filer Information

Filer CIK:	0001721104
Filer CCC:	XXXXXXXX
File Number:	020-23925
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Submission Contact Information

Name:
Phone Number:
Contact E-Mail Address:
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Form C: Issuer Information

Issuer Information

Name of Issuer:

Cloud Cover Media, Inc.

Check box if Amendment is material and investors will have five business days to reconfirm

Checkbox not checked

Describe the Nature of the Amendment:

Target Amount reduced to $50,000 from $200,000.

Legal Status of Issuer:

Form:

Corporation

Jurisdiction of Incorporation/Organization:

CALIFORNIA

Date of Incorporation/Organization:

10-10-2011

Physical Address of Issuer:

Address 1:	1634 19TH STREET
City:	SANTA MONICA
State/Country:	CALIFORNIA
Mailing Zip/Postal Code:	90404
Website of Issuer:	www.cloudcovermusic.com

Intermediary through which the Offering will be Conducted:

CIK:	0001681493
Company Name:	EquityBender LLC
Commission File Number:	007-00092
CRD Number:	285983

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:

Cash Commission of 5%

Any other financial interest in the issuer held by the intermediary, or any arrangement for the intermediary to acquire such an interest:

5% of total offering amount sold in same SAFE securities as soldin Offering

Type of Security Offered:

Other

Specify:

Simple Agreement for Future Equity (SAFE)

Target Number of Securities to be Offered:	50000
Price:	1.00000
Price (or Method for Determining Price):	Arbitrarily set by the Company's board of directors
Target Offering Amount:	50000.00
Maximum Offering Amount (if different from Target Offering Amount):	1070000.00

Oversubscriptions Accepted:

Radio button checked

Yes

Radio button not checked

No

If yes, disclose how oversubscriptions will be allocated:

First-come, first-served basis

Deadline to reach the Target Offering Amount:

03-23-2018

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:	12
Total Assets Most Recent Fiscal Year-end:	57179.00
Total Assets Prior Fiscal Year-end:	35620.00
Cash and Cash Equivalents Most Recent Fiscal Year-end:	39179.00
Cash and Cash Equivalents Prior Fiscal Year-end:	22620.00
Accounts Receivable Most Recent Fiscal Year-end:	0.00
Accounts Receivable Prior Fiscal Year-end:	0.00
Short-term Debt Most Recent Fiscal Year-end:	0.00
Short-term Debt Prior Fiscal Year-end:	0.00
Long-term Debt Most Recent Fiscal Year-end:	902000.00
Long-term Debt Prior Fiscal Year-end:	510000.00
Revenue/Sales Most Recent Fiscal Year-end:	634259.00
Revenue/Sales Prior Fiscal Year-end:	450958.00
Cost of Goods Sold Most Recent Fiscal Year-end:	294404.00
Cost of Goods Sold Prior Fiscal Year-end:	259288.00
Taxes Paid Most Recent Fiscal Year-end:	800.00
Taxes Paid Prior Fiscal Year-end:	1257.00
Net Income Most Recent Fiscal Year-end:	828496.00
Net Income Prior Fiscal Year-end:	682876.00

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

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ARIZONA

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ARKANSAS

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

CALIFORNIA

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COLORADO

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CONNECTICUT

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DELAWARE

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DISTRICT OF COLUMBIA

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FLORIDA

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GEORGIA

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HAWAII

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IDAHO

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ILLINOIS

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INDIANA

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IOWA

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KANSAS

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KENTUCKY

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LOUISIANA

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MAINE

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MARYLAND

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MASSACHUSETTS

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MICHIGAN

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MINNESOTA

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MISSISSIPPI

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MISSOURI

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MONTANA

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NEBRASKA

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NEVADA

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NEW HAMPSHIRE

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NEW JERSEY

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NEW MEXICO

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NEW YORK

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NORTH CAROLINA

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NORTH DAKOTA

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OHIO

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OKLAHOMA

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OREGON

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PENNSYLVANIA

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PUERTO RICO

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RHODE ISLAND

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SOUTH CAROLINA

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SOUTH DAKOTA

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TENNESSEE

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TEXAS

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UTAH

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VERMONT

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VIRGINIA

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WASHINGTON

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WEST VIRGINIA

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WISCONSIN

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WYOMING

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ALBERTA, CANADA

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BRITISH COLUMBIA, CANADA

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MANITOBA, CANADA

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NEW BRUNSWICK, CANADA

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NEWFOUNDLAND, CANADA

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NOVA SCOTIA, CANADA

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ONTARIO, CANADA

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PRINCE EDWARD ISLAND, CANADA

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QUEBEC, CANADA

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SASKATCHEWAN, CANADA

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YUKON, CANADA

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

CANADA (FEDERAL LEVEL)

Form C: Signature

Signature

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), the issuer certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form C and has duly caused this Form to be signed on its behalf by the duly authorized undersigned.

Issuer:

Cloud Cover Media, Inc.

Signature:

/s/Mark Lehman

Title:

CEO

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:

/s/Mark Lehman

Title:

CEO

Date:

01-24-2018

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