0001515198-17-000003.txt : 20171205 0001515198-17-000003.hdr.sgml : 20171205 20171205121731 ACCESSION NUMBER: 0001515198-17-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c ITEM INFORMATION: 4a5 FILED AS OF DATE: 20171205 DATE AS OF CHANGE: 20171205 EFFECTIVENESS DATE: 20171205 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Atlas Spine, Inc. CENTRAL INDEX KEY: 0001515198 IRS NUMBER: 331131445 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-300072 FILM NUMBER: 171239082 BUSINESS ADDRESS: STREET 1: 1555 JUPITER PARK DRIVE CITY: JUPITER STATE: FL ZIP: 33458 BUSINESS PHONE: (561) 354-4304 MAIL ADDRESS: STREET 1: 1555 JUPITER PARK DRIVE CITY: JUPITER STATE: FL ZIP: 33458 D 1 primary_doc.xml X0708 D LIVE 0001515198 Atlas Spine, Inc. 1555 JUPITER PARK DRIVE SUITE 1 JUPITER FL FLORIDA 33458 561-741-1108 FLORIDA None None Corporation true Watson Douglass 1555 Jupiter Park Drive Suite 1 Jupiter FL FLORIDA 33458 Executive Officer Director Matthew Baynham 1555 Jupiter Park Drive Suite 1 Jupiter FL FLORIDA 33458 Executive Officer Director Alan James Olsen 1555 Jupiter Park Drive Suite 1 Jupiter FL FLORIDA 33458 Director Chairman of the Board William Hanley 362 Chamborg Terrace Palm Beach Gardens FL FLORIDA 33410 Director Gerald Clay Baynham 8 East Winds Circle Tequesta FL FLORIDA 33469 Director Matthew J Miller 2446 W Neptune St. Tampa FL FLORIDA 33629 Executive Officer Elizabeth Corson 319 Clematis Street Suite 601 West Palm Beach FL FLORIDA 33401 Executive Officer Chief Financial Officer Manufacturing $1,000,001 - $5,000,000 06c 4a5 false true false true true false 10000 6500001 0 6500001 false 0 0 50000 true 0 true false Atlas Spine, Inc. Matthew Miller Matthew Miller Exec Vice President 2017-12-05