0001699350-20-000001.txt : 20200203 0001699350-20-000001.hdr.sgml : 20200203 20200203150642 ACCESSION NUMBER: 0001699350-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200203 DATE AS OF CHANGE: 20200203 EFFECTIVENESS DATE: 20200203 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SHOULDER INNOVATIONS, INC. CENTRAL INDEX KEY: 0001699350 IRS NUMBER: 270538764 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-359615 FILM NUMBER: 20568332 BUSINESS ADDRESS: STREET 1: 13827 PORT SHELDON STREET CITY: HOLLAND STATE: MI ZIP: 49424 BUSINESS PHONE: 616-566-0286 MAIL ADDRESS: STREET 1: 13827 PORT SHELDON STREET CITY: HOLLAND STATE: MI ZIP: 49424 D 1 primary_doc.xml X0708 D LIVE 0001699350 SHOULDER INNOVATIONS, INC. 13827 PORT SHELDON STREET HOLLAND MI MICHIGAN 49424 616-294-1026 DELAWARE None None Corporation true Matthew Ahearn C/O Shoulder Innovations, Inc. 13827 Port Sheldon Street HOLLAND MI MICHIGAN 49424 Executive Officer Director Robert Ball C/O Shoulder Innovations, Inc. 13827 Port Sheldon Street HOLLAND MI MICHIGAN 49424 Executive Officer Director Stephen Gunther C/O Shoulder Innovations, Inc. 13827 Port Sheldon Street HOLLAND MI MICHIGAN 49424 Director Kim Pasquino C/O Shoulder Innovations, Inc. 13827 Port Sheldon Street HOLLAND MI MICHIGAN 49424 Director Ron Frisbie C/O Shoulder Innovations, Inc. 13827 Port Sheldon Street HOLLAND MI MICHIGAN 49424 Director Other Health Care Decline to Disclose 06b false 2020-01-28 false true false 1353 2200000 2200000 0 false 31 0 0 0 false SHOULDER INNOVATIONS, INC. Matthew Ahearn Matthew Ahearn President 2020-02-03