0001393857-14-000002.txt : 20140630 0001393857-14-000002.hdr.sgml : 20140630 20140630164057 ACCESSION NUMBER: 0001393857-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140630 DATE AS OF CHANGE: 20140630 EFFECTIVENESS DATE: 20140630 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: 021-220104 FILM NUMBER: 14949562 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 X0707 D LIVE 0001393857 IlluminOss Medical Inc 993 WATERMAN AVENUE EAST PROVIDENCE RI RHODE ISLAND 02914 4017140008 DELAWARE None None Corporation true Dirk Kuyper 993 Waterman Avenue c/o IlluminOss Medical, Inc. East Providence RI RHODE ISLAND 02914 Executive Officer Director Daniel Omstead 993 Waterman Avenue c/o IlluminOss Medical, Inc. East Providence RI RHODE ISLAND 02914 Director Fouad Azzam 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 Lee Wrubel 993 Waterman Avenue c/o IlluminOss Medical, Inc. East Providence RI RHODE ISLAND 02914 Director Enrico Petrillo 993 Waterman Avenue c/o IlluminOss Medical, Inc. East Providence RI RHODE ISLAND 02914 Director Rajeev Dadoo 993 Waterman Avenue c/o IlluminOss Medical, Inc. East Providence RI RHODE ISLAND 02914 Director Robert Rabiner 993 Waterman Avenue c/o IlluminOss Medical, Inc. East Providence RI RHODE ISLAND 02914 Executive Officer Director Other Decline to Disclose 06b false 2014-06-13 true true false 0 22000002 6470640 15529362 false 14 0 0 0 false IlluminOss Medical Inc Robert Rabiner Robert Rabiner CTO and Treasurer 2014-06-25