-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, LhI8IqRyr81fifKzk8BJ5HH6zRawBnPL9JLMl36pzbuKn0BHNdg+FuL/83ZUknst aypIMeoXko+JijXwQlZD7g== 0001393857-10-000005.txt : 20101201 0001393857-10-000005.hdr.sgml : 20101201 20101201171331 ACCESSION NUMBER: 0001393857-10-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 ITEM INFORMATION: Securities Act Section 4(6) FILED AS OF DATE: 20101201 DATE AS OF CHANGE: 20101201 EFFECTIVENESS DATE: 20101201 FILER: COMPANY DATA: COMPANY CONFORMED NAME: IlluminOss Medical Inc CENTRAL INDEX KEY: 0001393857 IRS NUMBER: 208179013 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-151260 FILM NUMBER: 101225493 BUSINESS ADDRESS: STREET 1: 993 WATERMAN AVENUE CITY: EAST PROVIDENCE STATE: RI ZIP: 02914 BUSINESS PHONE: 4017140008 MAIL ADDRESS: STREET 1: 993 WATERMAN AVENUE CITY: EAST PROVIDENCE STATE: RI ZIP: 02914 D 1 primary_doc.xml X0704 D LIVE 0001393857 IlluminOss Medical Inc 993 WATERMAN AVENUE EAST PROVIDENCE RI RHODE ISLAND 02914 4017140008 DELAWARE None None Corporation true 2007 R. Scott Rader 993 Waterman Avenue East Providence RI RHODE ISLAND 02914 Executive Officer Director Robert A. Rabiner 993 Waterman Avenue East Providence RI RHODE ISLAND 02914 Director Harry T. Rein c/o Foundation Medical Partners II LP 105 Rowayton Avenue Rowayton CT CONNECTICUT 06853 Director Lee R. Wrubel c/o Foundation Medical Partners II LP 105 Rowayton Avenue Rowayton CT CONNECTICUT 06853 Director John Pafford 11022 Raleigh Lagrange Road Eads TN TENNESSEE 38028 Director Milton McColl 2500 Sand Hill Road Menlo Park CA CALIFORNIA 94025 Director Arnold Peter C. Weiss 23 Nayatt Road Barrington RI RHODE ISLAND 02806 Director Other Decline to Disclose 06 46 false 2010-11-23 false true true true false 0 4000000 4000000 0 false 4 0 0 0 false IlluminOss Medical Inc R. Scott Rader R. Scott Rader CEO and President 2010-12-01 -----END PRIVACY-ENHANCED MESSAGE-----