0001714434-18-000001.txt : 20181005 0001714434-18-000001.hdr.sgml : 20181005 20181005121629 ACCESSION NUMBER: 0001714434-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181005 DATE AS OF CHANGE: 20181005 EFFECTIVENESS DATE: 20181005 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: 021-322911 FILM NUMBER: 181109834 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 c/o Signature Orthodontics, Inc. 16 Miner St., #406 Boston MA MASSACHUSETTS 02215 Executive Officer Director Lou Shuman c/o Signature Orthodontics, Inc. 16 Miner St., #406 Boston MA MASSACHUSETTS 02215 Director Johann Oberhofer c/o Signature Orthodontics, Inc. 16 Miner St., #406 Boston MA MASSACHUSETTS 02215 Director Johannes Homa c/o Signature Orthodontics, Inc. 16 Miner St., #406 Boston MA MASSACHUSETTS 02215 Director Other Health Care Decline to Disclose 06b false 2018-09-21 false true false 0 5120000 5120000 0 false 2 0 0 0 false Signature Orthodontics Inc. /s/Alfred Charles Griffin III Alfred Charles Griffin III Chief Executive Officer 2018-10-05