0001393857-16-000002.txt : 20160205 0001393857-16-000002.hdr.sgml : 20160205 20160205111607 ACCESSION NUMBER: 0001393857-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160205 DATE AS OF CHANGE: 20160205 EFFECTIVENESS DATE: 20160205 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: 021-256824 FILM NUMBER: 161390718 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 401-714-0008 DELAWARE None None Corporation true Manny Avila 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 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 Biotechnology Decline to Disclose 06b false 2016-01-22 false true true The offering covered the purchase of the Company's Series AA Preferred Stock and the exchange of shares of the Company?s Series A Preferred Stock, Series B Preferred Stock and Series C1 Preferred Stock for Junior Non-Voting Preferred Stock. 0 25000000 4997999 20002001 false 17 0 0 0 false IlluminOss Medical Inc Manny Avilla Manny Avilla President and Chief Executive Officer 2016-02-05