0001714434-17-000001.txt : 20170810 0001714434-17-000001.hdr.sgml : 20170810 20170810111319 ACCESSION NUMBER: 0001714434-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170810 DATE AS OF CHANGE: 20170810 EFFECTIVENESS DATE: 20170810 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Signature Orthodontics Inc. CENTRAL INDEX KEY: 0001714434 IRS NUMBER: 475394197 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-292531 FILM NUMBER: 171020290 BUSINESS ADDRESS: STREET 1: 16 MINER ST. STREET 2: #406 CITY: BOSTON STATE: MA ZIP: 02215 BUSINESS PHONE: 540-229-1236 MAIL ADDRESS: STREET 1: 16 MINER ST. STREET 2: #406 CITY: BOSTON STATE: MA ZIP: 02215 D 1 primary_doc.xml X0708 D LIVE 0001714434 Signature Orthodontics Inc. 16 MINER ST. #406 BOSTON MA MASSACHUSETTS 02215 540-229-1236 DELAWARE None None Corporation true 2015 Alfred Charles Griffin III 16 Miner St. #406 Boston MA MASSACHUSETTS 02215 Executive Officer Director Other Health Care Decline to Disclose 06b false 2017-07-26 false true false 0 2000000 1300000 700000 false 1 0 0 0 false Signature Orthodontics Inc. /s/Alfred Charles Griffin III Alfred Charles Griffin III Chief Executive Officer 2017-08-10