0001144204-11-036389.txt : 20110620 0001144204-11-036389.hdr.sgml : 20110620 20110620090248 ACCESSION NUMBER: 0001144204-11-036389 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110606 FILED AS OF DATE: 20110620 DATE AS OF CHANGE: 20110620 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROSE FRANKLIN ARTHUR CENTRAL INDEX KEY: 0001496953 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27407 FILM NUMBER: 11920125 MAIL ADDRESS: STREET 1: 1121-16 UPTOWN PARK BLVD CITY: HOUSTON STATE: TX ZIP: 77056 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Spine Pain Management, Inc CENTRAL INDEX KEY: 0001066764 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] IRS NUMBER: 980187705 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5225 KATY FREEWAY STREET 2: SUITE 600 CITY: HOUSTON STATE: TX ZIP: 77007 BUSINESS PHONE: (713) 816-7303 MAIL ADDRESS: STREET 1: 5225 KATY FREEWAY STREET 2: SUITE 600 CITY: HOUSTON STATE: TX ZIP: 77007 FORMER COMPANY: FORMER CONFORMED NAME: VERSA CARD, INC. DATE OF NAME CHANGE: 20080515 FORMER COMPANY: FORMER CONFORMED NAME: Intrepid Global Imaging 3D, INC. DATE OF NAME CHANGE: 20070319 FORMER COMPANY: FORMER CONFORMED NAME: MANGAPETS, INC. DATE OF NAME CHANGE: 20060213 4 1 form442537_062011090227-.xml X0303 4 2011-06-06 0 0001066764 Spine Pain Management, Inc SPIN 0001496953 ROSE FRANKLIN ARTHUR 1121-16 UPTOWN PARK BLVD. HOUSTON TX US 77056 1 0 0 0 Stock Options 0.77 2011-06-06 4 A 0 25000 A 2011-06-06 2014-06-06 Common Stock 25000 25000 D Executive Compensation. /s/ Franklin A. Rose 2011-06-16