0001674402-20-000002.txt : 20200623 0001674402-20-000002.hdr.sgml : 20200623 20200623164456 ACCESSION NUMBER: 0001674402-20-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200623 DATE AS OF CHANGE: 20200623 EFFECTIVENESS DATE: 20200623 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Surgical Innovation Associates Inc. CENTRAL INDEX KEY: 0001674402 IRS NUMBER: 811963100 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-369546 FILM NUMBER: 20982672 BUSINESS ADDRESS: STREET 1: 965 W. CHICAGO AVE CITY: CHICAGO STATE: IL ZIP: 60642 BUSINESS PHONE: (626) 372-4884 MAIL ADDRESS: STREET 1: 965 W. CHICAGO AVE CITY: CHICAGO STATE: IL ZIP: 60642 D 1 primary_doc.xml X0708 D LIVE 0001674402 Surgical Innovation Associates Inc. 965 W. CHICAGO AVE CHICAGO IL ILLINOIS 60642 (626) 372-4884 DELAWARE None None Corporation true 2016 Alexei Mlodinow 965 W. Chicago Ave. Chicago IL ILLINOIS 60642 Executive Officer Director John Y.S. Kim, M.D. 965 W. Chicago Ave. Chicago IL ILLINOIS 60642 Director Todd Cruikshank 965 W. Chicago Ave. Chicago IL ILLINOIS 60642 Executive Officer Ryan Egeland 965 W. Chicago Ave. Chicago IL ILLINOIS 60642 Director John Slump 965 W. Chicago Ave. Chicago IL ILLINOIS 60642 Executive Officer Other Health Care Decline to Disclose 06b false 2020-04-30 false true true false 0 2000000 1741062 258938 false 39 0 0 541054 true Estimated amount of salary payments spread over a 21 month period of time false Surgical Innovation Associates Inc. /s/ Alexei Mlodinow Alexei Mlodinow Director and President 2020-06-23