0001701622-18-000001.txt : 20180314 0001701622-18-000001.hdr.sgml : 20180314 20180314162907 ACCESSION NUMBER: 0001701622-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180314 DATE AS OF CHANGE: 20180314 EFFECTIVENESS DATE: 20180314 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ActivOrtho, Inc. CENTRAL INDEX KEY: 0001701622 IRS NUMBER: 384024005 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-307732 FILM NUMBER: 18689808 BUSINESS ADDRESS: STREET 1: 12820 34TH AVENUE NORTH CITY: PLYMOUTH STATE: MN ZIP: 55441 BUSINESS PHONE: 651-341-3805 MAIL ADDRESS: STREET 1: 12820 34TH AVENUE NORTH CITY: PLYMOUTH STATE: MN ZIP: 55441 D 1 primary_doc.xml X0708 D LIVE 0001701622 ActivOrtho, Inc. 12820 34TH AVENUE NORTH PLYMOUTH MN MINNESOTA 55441 651-341-3805 DELAWARE None None Corporation true 2017 Paul Hindrichs c/o ActivOrtho, Inc. 12820 34th Avenue North Plymouth MN MINNESOTA 55441 Executive Officer Director John Deedrick c/o ActivOrtho, Inc. 12820 34th Avenue North Plymouth MN MINNESOTA 55441 Director Michael Brenzel c/o ActivOrtho, Inc. 12820 34th Avenue North Plymouth MN MINNESOTA 55441 Director Andrew Palmer c/o ActivOrtho, Inc. 12820 34th Avenue North Plymouth MN MINNESOTA 55441 Director Paul Buckman c/o ActivOrtho, Inc. 12820 34th Avenue North Plymouth MN MINNESOTA 55441 Director Steve Healy c/o ActivOrtho, Inc. 12820 34th Avenue North Plymouth MN MINNESOTA 55441 Director Other Technology Decline to Disclose 06b false 2018-03-14 false true false 12500 1500000 667813 832187 false 11 0 0 250000 true false ActivOrtho, Inc. /s/ Paul Hindrichs Paul Hindrichs President & CEO 2018-03-14