The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete. | |||||||||||||||||
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM D Notice of Exempt Offering of Securities |
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1. Issuer's Identity
CIK (Filer ID Number) | Previous Names |
| Entity Type | ||||||||||||
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0001917699 |
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Name of Issuer | |||||||||||||||
NATIVE SAN & COMPANY, LLC | |||||||||||||||
Jurisdiction of Incorporation/Organization | |||||||||||||||
ALABAMA | |||||||||||||||
Year of Incorporation/Organization | |||||||||||||||
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2. Principal Place of Business and Contact Information
Name of Issuer | |||
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NATIVE SAN & COMPANY, LLC | |||
Street Address 1 | Street Address 2 | ||
2501 MASTIN LAKE ROAD NW | UNIT 3563 | ||
City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
HUNTSVILLE | ALABAMA | 35810 | 256-684-1295 |
1. Issuer's Identity
CIK (Filer ID Number) | Previous Names |
| Entity Type | ||||||||||||
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0001905142 |
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Name of Issuer | |||||||||||||||
Shamuel Family Trust | |||||||||||||||
Jurisdiction of Incorporation/Organization | |||||||||||||||
TEXAS | |||||||||||||||
Year of Incorporation/Organization | |||||||||||||||
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2. Principal Place of Business and Contact Information
Name of Issuer | |||
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Shamuel Family Trust | |||
Street Address 1 | Street Address 2 | ||
128 SUNSET BLVD #1099 | |||
City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
NEW CASTLE | DELAWARE | 19720 | 6789486096 |
1. Issuer's Identity
CIK (Filer ID Number) | Previous Names |
| Entity Type | |||||||||||||
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0001772180 |
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Foreign Private Trust | ||||||||||||||
Name of Issuer | ||||||||||||||||
Michael James Ferguson Jr, Foreign Private Trust | ||||||||||||||||
Jurisdiction of Incorporation/Organization | ||||||||||||||||
NEW YORK | ||||||||||||||||
Year of Incorporation/Organization | ||||||||||||||||
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2. Principal Place of Business and Contact Information
Name of Issuer | |||
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Michael James Ferguson Jr, Foreign Private Trust | |||
Street Address 1 | Street Address 2 | ||
521 WEST 146TH STREET SUITE 215-BOX | C/O AMBASSADOR TEMPLE OF MOORISH AMERICA | ||
City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
NEW YORK | NEW YORK | 10031-9998 | 917-257-5140 |
3. Related Persons
Last Name | First Name | Middle Name |
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Yavapai: El | Chief :Meskwaki- | |
Street Address 1 | Street Address 2 | |
2501 Mastin Lake Road NW | Unit 3563 | |
City | State/Province/Country | ZIP/PostalCode |
Huntsville | ALABAMA | 35810-5025 |
Relationship: | X | Executive Officer | X | Director | X | Promoter |
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Clarification of Response (if Necessary):
see: State of Alabama NON UCC 20220503000000482 File No. 22-7260468 uploaded with Form C/A (EXHIBIT 1-14). see also Private Security Agreement-Schedule A.Last Name | First Name | Middle Name |
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Shelton | Hon. Larry | |
Street Address 1 | Street Address 2 | |
5868 Westheimer Rd | Suite #453 | |
City | State/Province/Country | ZIP/PostalCode |
Houston | TEXAS | 77057 |
Relationship: | X | Executive Officer | X | Director | X | Promoter |
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Clarification of Response (if Necessary):
To validate the connection to the issuer please contact Honorable Larry Shelton at the following Telephone No. Area Code (678)948-6096.Last Name | First Name | Middle Name |
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:Terry Bey | C.M. | :Red-Wolf |
Street Address 1 | Street Address 2 | |
2501 Mastin Lake Road NW | Unit 3563 | |
City | State/Province/Country | ZIP/PostalCode |
Huntsville | ALABAMA | 35810-5025 |
Relationship: | X | Executive Officer | X | Director | X | Promoter |
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Clarification of Response (if Necessary):
see: State of Alabama NON UCC 20220503000000482 File No. 22-7260468 uploaded with Form C/A (EXHIBIT 1-14). see also Private Security Agreement-Schedule A.Last Name | First Name | Middle Name |
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Ferguson El | Noble | |
Street Address 1 | Street Address 2 | |
2501 Mastin Lake Road NW | Unit 3563 | |
City | State/Province/Country | ZIP/PostalCode |
Huntsville | ALABAMA | 35810-5025 |
Relationship: | X | Executive Officer | Director | Promoter |
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Clarification of Response (if Necessary):
see: State of Alabama NON UCC 20220503000000482 File No. 22-7260468 uploaded with Form C/A (EXHIBIT 1-14). see also Private Security Agreement-Schedule A.Last Name | First Name | Middle Name |
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Terry | Yoquesha | A |
Street Address 1 | Street Address 2 | |
2501 Mastin Lake Road NW | Unit 3563 | |
City | State/Province/Country | ZIP/PostalCode |
Huntsville | ALABAMA | 35810-5025 |
Relationship: | X | Executive Officer | Director | Promoter |
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Clarification of Response (if Necessary):
see: State of Alabama NON UCC 20220503000000482 File No. 22-7260468 uploaded with Form C/A (EXHIBIT 1-14). see also Private Security Agreement-Schedule A.4. Industry Group
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5. Issuer Size
Revenue Range | OR | Aggregate Net Asset Value Range | ||
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No Revenues | No Aggregate Net Asset Value | |||
$1 - $1,000,000 | $1 - $5,000,000 | |||
$1,000,001 - $5,000,000 | $5,000,001 - $25,000,000 | |||
$5,000,001 - $25,000,000 | $25,000,001 - $50,000,000 | |||
$25,000,001 - $100,000,000 | $50,000,001 - $100,000,000 | |||
X | Over $100,000,000 | Over $100,000,000 | ||
Decline to Disclose | Decline to Disclose | |||
Not Applicable | Not Applicable |
6. Federal Exemption(s) and Exclusion(s) Claimed (select all that apply)
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7. Type of Filing
New Notice | Date of First Sale | X | First Sale Yet to Occur | |||||
X | Amendment |
8. Duration of Offering
Does the Issuer intend this offering to last more than one year? |
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9. Type(s) of Securities Offered (select all that apply)
X | Equity | X | Pooled Investment Fund Interests |
X | Debt | X | Tenant-in-Common Securities |
X | Option, Warrant or Other Right to Acquire Another Security | X | Mineral Property Securities |
X | Security to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire Security | X | Other (describe) |
Sovereign Bonds/Private Bonds |
10. Business Combination Transaction
Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer? |
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Clarification of Response (if Necessary):
This Exchange Offer is issued pursuant to provisions under 18 U.S.C. 8 (Certificate of Indebtedness), 12 U.S.C. 95a(2) (assigning interest in property to the United States), 31 CFR 225, & IRM 21.1.7.9.22 (04-19-2012), in the interest of the United States11. Minimum Investment
Minimum investment accepted from any outside investor | $10,000,000 | USD |
12. Sales Compensation
Recipient |
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Ambassador Temple of Moorish America | 307828 | ||||||
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Honorable Larry Shelton | 307828 | ||||||
Street Address 1 | Street Address 2 | ||||||
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5868 Westheimer Rd | Suite #453 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
Houston | TEXAS | 77057 | |||||
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Recipient |
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UNITED STATES DEPARTMENT OF THE TREASURY OFFICE OF EXECUTIVE SECRETARY | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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1500 PENNSYLVANIA AVENUE, N.W. | ROOM 3413 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
WASHINGTON | DISTRICT OF COLUMBIA | 20220 | |||||
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13. Offering and Sales Amounts
Total Offering Amount | $500,000,000 | USD |
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Total Amount Sold | $0 | USD | ||||
Total Remaining to be Sold | $500,000,000 | USD |
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Clarification of Response (if Necessary):
There has not been a sale for the following offering amount, until 07-31-2022 see: State of Alabama NON UCC 20220503000000482 File No. 22-7260468 uploaded with Form C/A (EXHIBIT 1-14). see also Private Security Agreement-Schedule A.14. Investors
| Select if securities in the offering have been or may be sold to persons who do not qualify as accredited investors, and enter the number of such non-accredited investors who already have invested in the offering. |
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Regardless of whether securities in the offering have been or may be sold to persons who do not qualify as accredited investors, enter the total number of investors who already have invested in the offering: |
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15. Sales Commissions & Finder's Fees Expenses
Provide separately the amounts of sales commissions and finders fees expenses, if any. If the amount of an expenditure is not known, provide an estimate and check the box next to the amount.
Sales Commissions | $50,000,000 | USD |
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Finders' Fees | $1,000,000 | USD |
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Clarification of Response (if Necessary):
see: Private Placement Memorandum16. Use of Proceeds
Provide the amount of the gross proceeds of the offering that has been or is proposed to be used for payments to any of the persons required to be named as executive officers, directors or promoters in response to Item 3 above. If the amount is unknown, provide an estimate and check the box next to the amount.
$100,000,000 | USD |
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Clarification of Response (if Necessary):
see Secured Funding and Offset Bond ADR NO. SANXC-B00001; RB 878 868 100 US on Form C/A: https://www.sec.gov/Archives/edgar/data/1917699/000191769922000021/0001917699-22-000021-index.htmSignature and Submission
Please verify the information you have entered and review the Terms of Submission below before signing and clicking SUBMIT below to file this notice.
Terms of Submission
In submitting this notice, each issuer named above is: |
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Each Issuer identified above has read this notice, knows the contents to be true, and has duly caused this notice to be signed on its behalf by the undersigned duly authorized person.
For signature, type in the signer's name or other letters or characters adopted or authorized as the signer's signature.
Issuer | Signature | Name of Signer | Title | Date |
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NATIVE SAN & COMPANY, LLC | Chief :Meskwaki-Yavapai: El | Chief :Meskwaki-Yavapai: El | President | 2022-05-25 |
Shamuel Family Trust | Hon. Larry Shelton | Honorable Larry Shelton | CEO | 2022-05-25 |
Michael James Ferguson Jr, Foreign Private Trust | Noble-Ferguson: El | Noble-Ferguson: El | CFO/Treasurer | 2022-05-25 |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
* This undertaking does not affect any limits Section 102(a) of the National Securities Markets Improvement Act of 1996 ("NSMIA") [Pub. L. No. 104-290, 110 Stat. 3416 (Oct. 11, 1996)] imposes on the ability of States to require information. As a result, if the securities that are the subject of this Form D are "covered securities" for purposes of NSMIA, whether in all instances or due to the nature of the offering that is the subject of this Form D, States cannot routinely require offering materials under this undertaking or otherwise and can require offering materials only to the extent NSMIA permits them to do so under NSMIA's preservation of their anti-fraud authority.