0001547881-12-000001.txt : 20120420 0001547881-12-000001.hdr.sgml : 20120420 20120420151741 ACCESSION NUMBER: 0001547881-12-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120420 DATE AS OF CHANGE: 20120420 EFFECTIVENESS DATE: 20120420 FILER: COMPANY DATA: COMPANY CONFORMED NAME: California Back Institute, LLC CENTRAL INDEX KEY: 0001547881 IRS NUMBER: 383819210 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-177035 FILM NUMBER: 12770698 BUSINESS ADDRESS: STREET 1: 2772 GATEWAY ROAD CITY: CARLSBAD STATE: CA ZIP: 92009 BUSINESS PHONE: 760-692-5159 MAIL ADDRESS: STREET 1: 2772 GATEWAY ROAD CITY: CARLSBAD STATE: CA ZIP: 92009 D 1 primary_doc.xml X0705 D LIVE 0001547881 California Back Institute, LLC 2772 GATEWAY ROAD CARLSBAD CA CALIFORNIA 92009 760-692-5159 CALIFORNIA California Back Institute, Inc. None Limited Liability Company true 2012 Charles Albert Perez 2772 Gateway Road Carlsbad CA CALIFORNIA 92009 Executive Officer Charles Perez is on the Board of Managers of California Back Institute, LLC. Denise Catherine Semensow 2772 Gateway Road Carlsbad CA CALIFORNIA 92009 Executive Officer Denise Semensow is on the Board of Managers of California Back Institute, LLC. Michael Kenneth Olson 2772 Gateway Road Carlsbad CA CALIFORNIA 92009 Executive Officer Michael Olson is on the Board of Managers of California Back Institute, LLC. Other No Revenues 06 false true false true false 1000 None None None None NA NA CA CALIFORNIA NA CA CALIFORNIA false 1000000 0 1000000 No units have been sold yet false 0 0 0 0 false California Back Institute, LLC Charles A. Perez Charles A. Perez Owner and Manager 2012-04-20