0001079973-25-000612.txt : 20250411 0001079973-25-000612.hdr.sgml : 20250411 20250411104637 ACCESSION NUMBER: 0001079973-25-000612 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20250411 DATE AS OF CHANGE: 20250411 EFFECTIVENESS DATE: 20250411 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Captiva Spine, Inc. CENTRAL INDEX KEY: 0002064256 ORGANIZATION NAME: EIN: 208154020 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-543443 FILM NUMBER: 25830441 BUSINESS ADDRESS: STREET 1: 967 N ALTERNATE A1A STREET 2: SUITE 1 CITY: JUPITER STATE: FL ZIP: 33477 BUSINESS PHONE: 561-277-9480 MAIL ADDRESS: STREET 1: 967 N ALTERNATE A1A STREET 2: SUITE 1 CITY: JUPITER STATE: FL ZIP: 33477 D 1 primary_doc.xml X0708 D LIVE 0002064256 Captiva Spine, Inc. 967 N ALTERNATE A1A SUITE 1 JUPITER FL FLORIDA 33477 561-277-9480 FLORIDA None None Corporation true Dale Mitchell 967 North Alternate A1A Suite 1 Jupiter FL FLORIDA 33477 Executive Officer Director Other Health Care Decline to Disclose 06b 4a5 false 2025-04-04 false true true false 1500000 1500000 1500000 0 false 1 0 0 0 true false Captiva Spine, Inc. /s/ Dale Mitchell Dale Mitchell President 2025-04-11