0001015325-17-000023.txt : 20170510 0001015325-17-000023.hdr.sgml : 20170510 20170510091002 ACCESSION NUMBER: 0001015325-17-000023 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170510 DATE AS OF CHANGE: 20170510 EFFECTIVENESS DATE: 20170510 FILER: COMPANY DATA: COMPANY CONFORMED NAME: TREACE MEDICAL CONCEPTS, INC. CENTRAL INDEX KEY: 0001630627 IRS NUMBER: 471052611 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-286390 FILM NUMBER: 17828673 BUSINESS ADDRESS: STREET 1: 3107 SAWGRASS VILLAGE CIRCLE CITY: PONTE VEDRA BEACH STATE: FL ZIP: 32082 BUSINESS PHONE: (904) 373-5940 MAIL ADDRESS: STREET 1: 3107 SAWGRASS VILLAGE CIRCLE CITY: PONTE VEDRA BEACH STATE: FL ZIP: 32082 D 1 primary_doc.xml X0707 D LIVE 0001630627 TREACE MEDICAL CONCEPTS, INC. 3107 SAWGRASS VILLAGE CIRCLE PONTE VEDRA BEACH FL FLORIDA 32082 (904) 373-5940 DELAWARE None None Corporation true 2014 JOHN T TREACE C/O TREACE MEDICAL CONCEPTS, INC. 3107 SAWGRASS VILLAGE CIRCLE PONTE VEDRA BEACH FL FLORIDA 32082 Executive Officer Director THOMAS E TIMBIE C/O TREACE MEDICAL CONCEPTS, INC. 3107 SAWGRASS VILLAGE CIRCLE PONTE VEDRA BEACH FL FLORIDA 32082 Director JOE W FERGUSON C/O TREACE MEDICAL CONCEPTS, INC. 3107 SAWGRASS VILLAGE CIRCLE PONTE VEDRA BEACH FL FLORIDA 32082 Executive Officer JAMES T TREACE C/O TREACE MEDICAL CONCEPTS, INC. 3107 SAWGRASS VILLAGE CIRCLE PONTE VEDRA BEACH FL FLORIDA 32082 Director F BARRY BAYS C/O TREACE MEDICAL CONCEPTS, INC. 3107 SAWGRASS VILLAGE CIRCLE PONTE VEDRA BEACH FL FLORIDA 32082 Director JOHN R TREACE C/O TREACE MEDICAL CONCEPTS, INC. 3107 SAWGRASS VILLAGE CIRCLE PONTE VEDRA BEACH FL FLORIDA 32082 Director KIRK A BRENNAN C/O TREACE MEDICAL CONCEPTS, INC. 3107 SAWGRASS VILLAGE CIRCLE PONTE VEDRA BEACH FL FLORIDA 32082 Executive Officer RICHARD W MOTT C/O TREACE MEDICAL CONCEPTS, INC. 3107 SAWGRASS VILLAGE CIRCLE PONTE VEDRA BEACH FL FLORIDA 32082 Director Other Health Care Decline to Disclose 06b false 2017-05-01 false true false 15000 5900000 5900000 0 false 38 0 0 0 false TREACE MEDICAL CONCEPTS, INC. /s/ John T. Treace JOHN T. TREACE CHIEF EXECUTIVE OFFICER 2017-05-09