FORM C |
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 | OMB APPROVAL |
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Form C: Filer Information
Filer CIK: | 0001777038 |
Filer CCC: | XXXXXXXX |
Period: | 12-31-2022 |
Is this a LIVE or TEST Filing? | ![]() ![]() |
Is this an electronic copy of an official filing submitted in paper format in connection with a hardship exemption? | ![]() |
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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: | Cusa Tea Inc. |
Legal Status of Issuer:
Form: | Corporation |
Jurisdiction of Incorporation/Organization: |
DELAWARE
|
Date of Incorporation/Organization: | 12-12-2016 |
Physical Address of Issuer:
Address 1: | 3275 Prairie Ave, Suite B |
City: | Boulder |
State/Country: |
COLORADO
|
Mailing Zip/Postal Code: | 80301 |
Website of Issuer: | http://www.DrinkCusa.com |
Form C: Annual Report Disclosure Requirements
Annual Report Disclosure Requirements
Current Number of Employees: | 4 |
Total Assets Most Recent Fiscal Year-end: | 732755.00 |
Total Assets Prior Fiscal Year-end: | 954991.00 |
Cash and Cash Equivalents Most Recent Fiscal Year-end: | 106405.00 |
Cash and Cash Equivalents Prior Fiscal Year-end: | 288728.00 |
Accounts Receivable Most Recent Fiscal Year-end: | 58017.00 |
Accounts Receivable Prior Fiscal Year-end: | 20499.00 |
Short-term Debt Most Recent Fiscal Year-end: | 757789.00 |
Short-term Debt Prior Fiscal Year-end: | 110576.00 |
Long-term Debt Most Recent Fiscal Year-end: | 2070672.00 |
Long-term Debt Prior Fiscal Year-end: | 1091045.00 |
Revenue/Sales Most Recent Fiscal Year-end: | 1845240.00 |
Revenue/Sales Prior Fiscal Year-end: | 1435778.00 |
Cost of Goods Sold Most Recent Fiscal Year-end: | 1073815.00 |
Cost of Goods Sold Prior Fiscal Year-end: | 564590.00 |
Taxes Paid Most Recent Fiscal Year-end: | 0.00 |
Taxes Paid Prior Fiscal Year-end: | 0.00 |
Net Income Most Recent Fiscal Year-end: | -1713077.00 |
Net Income Prior Fiscal Year-end: | -872601.00 |
Form C: Signature
Signature
Issuer: | Cusa Tea Inc. |
Signature: | Jim Lamancusa |
Title: | Founder and 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: | Jay Hirsh |
Title: | Partner |
Date: | 03-15-2023 |
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: | James Cali |
Title: | Cusa Board Member |
Date: | 03-14-2023 |
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: | MATT FARGO |
Title: | MANAGING PARTNER |
Date: | 03-14-2023 |
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: | Jim Lamancusa |
Title: | Founder and CEO |
Date: | 03-14-2023 |