0001866603-21-000001.txt : 20210609 0001866603-21-000001.hdr.sgml : 20210609 20210609151354 ACCESSION NUMBER: 0001866603-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210609 DATE AS OF CHANGE: 20210609 EFFECTIVENESS DATE: 20210609 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Empirical Spine, Inc. CENTRAL INDEX KEY: 0001866603 IRS NUMBER: 383991701 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-402287 FILM NUMBER: 211004867 BUSINESS ADDRESS: STREET 1: 168 ELEANOR AVE CITY: WOODSIDE STATE: CA ZIP: 94062 BUSINESS PHONE: 650) 721-7616 MAIL ADDRESS: STREET 1: 168 ELEANOR AVE CITY: WOODSIDE STATE: CA ZIP: 94062 D 1 primary_doc.xml X0708 D LIVE 0001866603 Empirical Spine, Inc. 168 ELEANOR AVE WOODSIDE CA CALIFORNIA 94062 650) 721-7616 DELAWARE None None Corporation true Richard Treadwell 168 Eleanor Ave Woodside CA CALIFORNIA 94062 Executive Officer Director Francis P. Grillo 168 Eleanor Ave Woodside CA CALIFORNIA 94062 Director Jay Watkins 168 Eleanor Ave Woodside CA CALIFORNIA 94062 Director Don Johnson 168 Eleanor Ave Woodside CA CALIFORNIA 94062 Director Todd Alamin 168 Eleanor Ave Woodside CA CALIFORNIA 94062 Director Other Health Care Decline to Disclose 06b false 2021-05-25 false true false 0 16381583 10676579 5705004 false 76 0 0 0 false Empirical Spine, Inc. Richard Treadwell Richard Treadwell President and Chief Executive Officer 2021-06-09