0001209191-19-003191.txt : 20190110 0001209191-19-003191.hdr.sgml : 20190110 20190110082403 ACCESSION NUMBER: 0001209191-19-003191 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190110 DATE AS OF CHANGE: 20190110 EFFECTIVENESS DATE: 20190110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CONVENTUS ORTHOPAEDICS INC CENTRAL INDEX KEY: 0001456304 IRS NUMBER: 800386869 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-330114 FILM NUMBER: 19519292 BUSINESS ADDRESS: STREET 1: 10200 73RD AVENUE NORTH CITY: MAPLE GROVE STATE: MN ZIP: 55369 BUSINESS PHONE: 651-341-3805 MAIL ADDRESS: STREET 1: 10200 73RD AVENUE NORTH CITY: MAPLE GROVE STATE: MN ZIP: 55369 D 1 primary_doc.xml X0708 D LIVE 0001456304 CONVENTUS ORTHOPAEDICS INC 10200 73rd Avenue North Maple Grove MN MINNESOTA 55369 763-515-5000 DELAWARE None None Corporation true Matt Jewett 10200 73rd Avenue North Maple Grove MN MINNESOTA 55369 Executive Officer Director Joseph Biller 8500 Normandale Lake Blvd Suite 1070 Bloomington MN MINNESOTA 55437 Director Scott Flora 1715 South Country Club Road Warsaw IN INDIANA 46226 Director Andrew ElBardissi 780 Third venue 37th Floor New York NY NEW YORK 10017 Director Charles Chon 10200 73rd Avenue North Suite 122 Maple Grove MN MINNESOTA 55369 Director Richard Mott 10200 73rd Avenue North Suite 122 Maple Grove MN MINNESOTA 55369 Director Shaden Marzouk 10200 73rd Avenue North Suite 122 Maple Grove MN MINNESOTA 55369 Executive Officer Other Health Care Decline to Disclose 06b false 2018-12-31 false true true true Subordinated Convertible Promissory Notes false 0 5000000 5000000 0 false 1 0 0 0 false CONVENTUS ORTHOPAEDICS INC /s/ Matthew Jewett Matthew Jewett Chief Executive Officer 2019-01-10