Form 3 - Initial statement of beneficial ownership of securities:
SEC Accession No. 0001010549-04-000392
Filing Date
2004-06-21
Accepted
2004-06-21 15:38:13
Documents
1
Period of Report
2004-06-14

Document Format Files

Seq Description Document Type Size
1 medina3khalter061404_ex.html 3  
1 medina3khalter061404_ex.xml 3 3467
  Complete submission text file 0001010549-04-000392.txt   5329
Mailing Address C/O SECURITIES TRANSFER CORP 2591 DALLAS PARKWAY #102 FRISCO TX 75034
Business Address C/O SECURITIES TRANSFER CORP 2591 DALLAS PARKWAY #102 FRISCO TX 75034 4696330101
HALTER KEVIN B JR (Reporting) CIK: 0001065883 (see all company filings)

Type: 3 | Act: 34 | File No.: 000-49712 | Film No.: 04872621

Mailing Address P O BOX 741 BELLEVUE WA 98009
Business Address P O BOX 741 BELLEVUE WA 98009 4254530334
MEDINA COFFEE INC (Issuer) CIK: 0001117171 (see all company filings)

EIN.: 880442833 | State of Incorp.: NV | Fiscal Year End: 1231
SIC: 5810 Retail-Eating & Drinking Places