0001721535-17-000001.txt : 20171102 0001721535-17-000001.hdr.sgml : 20171102 20171101220518 ACCESSION NUMBER: 0001721535-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171102 DATE AS OF CHANGE: 20171101 EFFECTIVENESS DATE: 20171102 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fulcrum Implant Systems, Inc. CENTRAL INDEX KEY: 0001721535 IRS NUMBER: 823033486 STATE OF INCORPORATION: NV FISCAL YEAR END: 1230 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-297953 FILM NUMBER: 171170563 BUSINESS ADDRESS: STREET 1: 304 S. JONES BLVD SUITE 632 CITY: LAS VEGAS STATE: NV ZIP: 89107 BUSINESS PHONE: 6183676239 MAIL ADDRESS: STREET 1: 304 S. JONES BLVD SUITE 632 CITY: LAS VEGAS STATE: NV ZIP: 89107 D 1 primary_doc.xml X0708 D LIVE 0001721535 Fulcrum Implant Systems, Inc. 304 S. JONES BLVD SUITE 632 LAS VEGAS NV NEVADA 89107 6183676239 NEVADA None None Corporation true 2017 Mallori Shahmohammadi 31855 Date Palm Drive Suite 3, #470 Cathedral City CA CALIFORNIA 92234 Executive Officer Other No Revenues 06b false true false true false 21000 Nevelen Alliances, LLC None None None 3245 W. Main St. Ste 235 Frisco TX TEXAS 75034 All States false 10500000 0 10500000 false 0 0 210000 0 false Fulcrum Implant Systems, Inc. Mallori Shahmohammadi Mallori Shahmohammadi Secretary 2017-11-01