0001476536-18-000002.txt : 20181120 0001476536-18-000002.hdr.sgml : 20181120 20181120114154 ACCESSION NUMBER: 0001476536-18-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181120 DATE AS OF CHANGE: 20181120 EFFECTIVENESS DATE: 20181120 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Titan Spine, Inc. 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: 021-326190 FILM NUMBER: 181194762 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 FORMER COMPANY: FORMER CONFORMED NAME: Titan Spine, LLC DATE OF NAME CHANGE: 20091110 D 1 primary_doc.xml X0708 D LIVE 0001476536 Titan Spine, Inc. 6140 WEST EXECUTIVE DRIVE SUITE A MEQUON WI WISCONSIN 53092 262-242-7801 DELAWARE Titan Spine, LLC Corporation true Peter Ullrich 6140 W Executive Drive Mequon WI WISCONSIN 53092 Executive Officer Director Kevin Gemas 6140 W Executive Drive Mequon WI WISCONSIN 53092 Director Thomas Keene 6140 W Executive Drive Mequon WI WISCONSIN 53092 Director Peter Wehrly 6140 W Executive Drive Mequon WI WISCONSIN 53092 Director Other Health Care Decline to Disclose 06b false 2018-10-19 false true true Series B Preferred Stock false 0 20000000 16724672 3275328 false 22 0 0 0 true false Titan Spine, Inc. Peter Ullrich Peter Ullrich CEO & President 2018-11-20