0001185185-15-003183.txt : 20151130
0001185185-15-003183.hdr.sgml : 20151130
20151130161213
ACCESSION NUMBER: 0001185185-15-003183
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151110
FILED AS OF DATE: 20151130
DATE AS OF CHANGE: 20151130
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Spine Injury Solutions, 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: Spine Pain Management, Inc
DATE OF NAME CHANGE: 20091201
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cronk Jeffrey A
CENTRAL INDEX KEY: 0001659552
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27407
FILM NUMBER: 151260081
MAIL ADDRESS:
STREET 1: 5225 KATY FREEWAY, SUITE 600
CITY: HOUSTON
STATE: TX
ZIP: 77007
4
1
form4-cronk112515.xml
OWNERSHIP DOCUMENT
X0306
4
2015-11-10
0
0001066764
Spine Injury Solutions, Inc
SPIN
0001659552
Cronk Jeffrey A
5225 KATY FREEWAY, SUITE 600
HOUSTON
TX
77007
1
0
0
0
Common Stock
2015-11-10
4
A
0
25000
A
25000
D
Director Compensation.
/s/ Jeffrey A. Cronk
2015-11-19