0001493152-22-009245.txt : 20220406 0001493152-22-009245.hdr.sgml : 20220406 20220406141709 ACCESSION NUMBER: 0001493152-22-009245 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220404 FILED AS OF DATE: 20220406 DATE AS OF CHANGE: 20220406 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tran Benjamin B CENTRAL INDEX KEY: 0001674106 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27407 FILM NUMBER: 22810274 MAIL ADDRESS: STREET 1: 49 MONTEREY PINE DR. CITY: NEWPORT COAST STATE: CA ZIP: 92657 FORMER NAME: FORMER CONFORMED NAME: Benjamin Tran B DATE OF NAME CHANGE: 20160510 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: 600 ANTON BOULEVARD STREET 2: SUITE 1100 CITY: COSTA MESA STATE: CA ZIP: 92626 BUSINESS PHONE: (713) 521-4220 MAIL ADDRESS: STREET 1: 600 ANTON BOULEVARD STREET 2: SUITE 1100 CITY: COSTA MESA STATE: CA ZIP: 92626 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 4 1 ownership.xml X0306 4 2022-04-04 0 0001066764 Spine Injury Solutions, Inc SPIN 0001674106 Tran Benjamin B C/O SPINE INJURY SOLUTIONS, INC. 600 ANTON BOULEVARD, SUITE 1100 COSTA MESA CA 92626 1 1 1 0 Chief Executive Officer Common Stock 2022-04-04 4 P 0 500 0.1673 A 500 D Common Stock 2022-04-04 4 P 0 9500 0.17 A 10000 D /s/ Benjamin Tran 2022-04-06