0001536792-12-000006.txt : 20120507 0001536792-12-000006.hdr.sgml : 20120507 20120507155637 ACCESSION NUMBER: 0001536792-12-000006 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120507 DATE AS OF CHANGE: 20120507 EFFECTIVENESS DATE: 20120507 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Anthem Orthopaedics VAN, LLC CENTRAL INDEX KEY: 0001536792 IRS NUMBER: 208330536 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-177783 FILM NUMBER: 12817794 BUSINESS ADDRESS: STREET 1: 191 PINE LANE CITY: LOS ALTOS STATE: CA ZIP: 94022 BUSINESS PHONE: 650-947-0474 MAIL ADDRESS: STREET 1: 191 PINE LANE CITY: LOS ALTOS STATE: CA ZIP: 94022 D 1 primary_doc.xml X0705 D LIVE 0001536792 Anthem Orthopaedics VAN, LLC 191 PINE LANE LOS ALTOS CA CALIFORNIA 94022 650-947-0474 CALIFORNIA None None Limited Liability Company true Amir Matityahu 191 Pine Lane Los Altos CA CALIFORNIA 94022 Executive Officer Trigg McClellan 1304 De Haro St San Francisco CA CALIFORNIA 94107 Executive Officer Other No Revenues 06 false 2010-04-24 false true false 50000 265000 265000 0 false 3 0 0 0 false Anthem Orthopaedics VAN, LLC Teri L.K. Shugart Teri L.K. Shugart Attorney 2012-05-07