0001100441-17-000016.txt : 20170519 0001100441-17-000016.hdr.sgml : 20170519 20170519100313 ACCESSION NUMBER: 0001100441-17-000016 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170518 FILED AS OF DATE: 20170519 DATE AS OF CHANGE: 20170519 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: RTI SURGICAL, INC. CENTRAL INDEX KEY: 0001100441 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 593466543 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11621 RESEARCH CIRCLE CITY: ALACHUA STATE: FL ZIP: 32615 BUSINESS PHONE: 386-418-8888 MAIL ADDRESS: STREET 1: 11621 RESEARCH CIRCLE CITY: ALACHUA STATE: FL ZIP: 32615 FORMER COMPANY: FORMER CONFORMED NAME: RTI Biologics, Inc. DATE OF NAME CHANGE: 20080227 FORMER COMPANY: FORMER CONFORMED NAME: REGENERATION TECHNOLOGIES INC DATE OF NAME CHANGE: 19991206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Farhat Camille CENTRAL INDEX KEY: 0001554635 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31271 FILM NUMBER: 17856661 MAIL ADDRESS: STREET 1: C/O AMERICAN MEDICAL SYSTEMS, INC. STREET 2: 10700 BREN ROAD WEST CITY: MINNETONKA STATE: MN ZIP: 55343 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-05-18 0 0001100441 RTI SURGICAL, INC. RTIX 0001554635 Farhat Camille C/O RTI SURGICAL, INC. 11621 RESEARCH CIRCLE ALACHUA FL 32615 0 1 0 0 Chief Executive Officer Common Stock 2017-05-18 4 P 0 61693 4.65 A 1144693 D Includes 850,000 shares of restricted stock of the Company. /s/Camille Farhat 2017-05-19