0001360739-19-000001.txt : 20191120 0001360739-19-000001.hdr.sgml : 20191120 20191120142647 ACCESSION NUMBER: 0001360739-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191120 DATE AS OF CHANGE: 20191120 EFFECTIVENESS DATE: 20191120 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ideal Implant Inc CENTRAL INDEX KEY: 0001360739 IRS NUMBER: 204074768 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-353835 FILM NUMBER: 191233903 BUSINESS ADDRESS: STREET 1: 5005 LBJ FREEWAY STREET 2: SUITE 900 CITY: DALLAS STATE: TX ZIP: 75244 BUSINESS PHONE: 214-492-2500 MAIL ADDRESS: STREET 1: 5005 LBJ FREEWAY STREET 2: SUITE 900 CITY: DALLAS STATE: TX ZIP: 75244 D 1 primary_doc.xml X0708 D LIVE 0001360739 Ideal Implant Inc 5005 LBJ FREEWAY SUITE 900 DALLAS TX TEXAS 75244 214-492-2500 TEXAS None None Corporation true Robert S. Hamas, M.D. 5005 LBJ Freeway Suite 900 Dallas TX TEXAS 75244 Executive Officer Director CEO, President, Secretary, and Treasurer Wade B. Hampton 1501 Caldwell Creek Drive Colleyville TX TEXAS 76034 Director Kevin Morano 499 Palm Circle East Naples FL FLORIDA 34102 Executive Officer Director CFO Paul Herchman 2668 Pinehurst Drive Grapevine TX TEXAS 76051 Director Other Health Care Decline to Disclose 06b false 2019-09-27 false true true false 24997 3935734 3935734 0 false 24 0 0 0 false Ideal Implant Inc /s/ Dr. Robert S. Hamas Dr. Robert S. Hamas, M.D. CEO & President 2019-11-20