| FORM C |
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 | OMB APPROVAL |
| OMB Number: ####-#### Estimated average burden hours per response: ##.# |
Form C: Filer Information
| Filer CIK: | 0001833099 |
| Filer CCC: | XXXXXXXX |
| Period: | 12-31-2022 |
| 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: | Automated Coffee Shop, Inc |
Legal Status of Issuer:
| Form: | Corporation |
| Jurisdiction of Incorporation/Organization: |
DELAWARE
|
| Date of Incorporation/Organization: | 11-15-2018 |
Physical Address of Issuer:
| Address 1: | W237N2878 Woodgate Road |
| Address 2: | Pewaukee WI 53072 |
| City: | Pewaukee |
| State/Country: |
WISCONSIN
|
| Mailing Zip/Postal Code: | 53072 |
| Website of Issuer: | www.GetOctaneCoffee.com |
Form C: Annual Report Disclosure Requirements
Annual Report Disclosure Requirements
| Current Number of Employees: | 1.00 |
| Total Assets Most Recent Fiscal Year-end: | 374991.00 |
| Total Assets Prior Fiscal Year-end: | 372643.00 |
| Cash and Cash Equivalents Most Recent Fiscal Year-end: | 148592.00 |
| Cash and Cash Equivalents Prior Fiscal Year-end: | 214106.00 |
| 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: | 33578.00 |
| Short-term Debt Prior Fiscal Year-end: | 45470.00 |
| 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: | 0.00 |
| Revenue/Sales Prior Fiscal Year-end: | 0.00 |
| Cost of Goods Sold Most Recent Fiscal Year-end: | 3335.00 |
| Cost of Goods Sold Prior Fiscal Year-end: | 2175.00 |
| Taxes Paid Most Recent Fiscal Year-end: | 0.00 |
| Taxes Paid Prior Fiscal Year-end: | 0.00 |
| Net Income Most Recent Fiscal Year-end: | -215759.00 |
| Net Income Prior Fiscal Year-end: | -121500.00 |
Form C: Signature
Signature
| Issuer: | Automated Coffee Shop, Inc |
| Signature: | Charles Kubiak |
| Title: | COO |
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: | Charles Kubiak |
| Title: | COO |
| Date: | 10-31-2024 |