0001393857-12-000001.txt : 20120628 0001393857-12-000001.hdr.sgml : 20120628 20120628114259 ACCESSION NUMBER: 0001393857-12-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120628 DATE AS OF CHANGE: 20120628 EFFECTIVENESS DATE: 20120628 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: 021-180434 FILM NUMBER: 12931466 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 X0705 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 993 Waterman Avenue c/o Illuminoss Medical, Inc. East Providence RI RHODE ISLAND 02914 Director Lee R. Wrubel 993 Waterman Avenue c/o Illuminoss Medical, Inc. East Providence RI RHODE ISLAND 02914 Director John Pafford 993 Waterman Avenue c/o Illuminoss Medical, Inc. East Providence RI RHODE ISLAND 02914 Director Ron Hunt 993 Waterman Avenue c/o Illuminoss Medical, Inc. East Providence RI RHODE ISLAND 02914 Director Other Decline to Disclose 06 false 2012-04-11 false true true true false 0 400000 400000 0 false 4 0 0 0 false IlluminOss Medical Inc /s/ R. Scott Rader R. Scott Rader CEO and President 2012-06-28