0001144204-16-141971.txt : 20161230 0001144204-16-141971.hdr.sgml : 20161230 20161230171820 ACCESSION NUMBER: 0001144204-16-141971 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161230 DATE AS OF CHANGE: 20161230 EFFECTIVENESS DATE: 20161230 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Titan Spine, LLC CENTRAL INDEX KEY: 0001476536 IRS NUMBER: 203933151 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-277448 FILM NUMBER: 162078038 BUSINESS ADDRESS: STREET 1: 6140 WEST EXECUTIVE DRIVE STREET 2: SUITE A CITY: MEQUON STATE: WI ZIP: 53092 BUSINESS PHONE: 262-242-7801 MAIL ADDRESS: STREET 1: 6140 WEST EXECUTIVE DRIVE STREET 2: SUITE A CITY: MEQUON STATE: WI ZIP: 53092 D 1 primary_doc.xml X0707 D LIVE 0001476536 Titan Spine, LLC 6140 WEST EXECUTIVE DRIVE SUITE A MEQUON WI WISCONSIN 53092 262-242-7801 DELAWARE None None Limited Liability Company true Peter F. Ullrich, Jr. 6140 West Executive Drive Suite A Mequon WI WISCONSIN 53092 Executive Officer Director Chief Executive Officer and Member of Board of Managers Kevin W. Gemas 6140 West Executive Drive Suite A Mequon WI WISCONSIN 53092 Executive Officer President and Member of Board of Managers Thomas C. Keene 6140 West Executive Drive Suite A Mequon WI WISCONSIN 53092 Executive Officer Member of Board of Managers Other Health Care Decline to Disclose 06b false 2016-08-01 false true false 25000 178043 178043 0 Series B Units false 9 0 0 0 false Titan Spine, LLC /s/ Kevin W. Gemas Kevin W. Gemas President 2016-12-30