0001615774-16-009036.txt : 20161222 0001615774-16-009036.hdr.sgml : 20161222 20161222145910 ACCESSION NUMBER: 0001615774-16-009036 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161222 DATE AS OF CHANGE: 20161222 EFFECTIVENESS DATE: 20161222 FILER: COMPANY DATA: COMPANY CONFORMED NAME: XG SCIENCES INC CENTRAL INDEX KEY: 0001435375 STANDARD INDUSTRIAL CLASSIFICATION: PLASTICS, MATERIALS, SYNTH RESINS & NONVULCAN ELASTOMERS [2821] IRS NUMBER: 000000000 STATE OF INCORPORATION: MI FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-276900 FILM NUMBER: 162066337 BUSINESS ADDRESS: STREET 1: 3101 GRAND OAK DRIVE STREET 2: SUITE 212 CITY: LANSING STATE: MI ZIP: 48911 BUSINESS PHONE: 517-203-1110 MAIL ADDRESS: STREET 1: 3101 GRAND OAK DRIVE STREET 2: SUITE 212 CITY: LANSING STATE: MI ZIP: 48911 D 1 primary_doc.xml X0707 D LIVE 0001435375 XG SCIENCES INC 3101 GRAND OAK DRIVE LANSING MI MICHIGAN 48911 517-203-1110 MICHIGAN None None Corporation true Philip L. Rose 3101 Grand Oak Drive Lansing MI MICHIGAN 48911 Executive Officer Director Arnold A. Allemang 3101 Grand Oak Drive Lansing MI MICHIGAN 48911 Director Dave Pendell 3101 Grand Oak Drive Lansing MI MICHIGAN 48911 Director Steven C. Jones 3101 Grand Oak Drive Lansing MI MICHIGAN 48911 Director Michael D. Pachos 3101 Grand Oak Drive Lansing MI MICHIGAN 48911 Director Ravi Shanker 3101 Grand Oak Drive Lansing MI MICHIGAN 48911 Director Manufacturing Decline to Disclose 06b false 2016-12-14 false true false 0 10000000 2000000 8000000 false 1 0 0 0 true XG SCIENCES INC /s/ Philip L. Rose Philip L. Rose Chief Executive Officer 2016-12-22