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