-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, FDRVkPUw5u8V7qU8Z2u8Gg5AfiuJwqnzJuJOger+BzAB4yODZGPgF8u9PLtLusyf cOTjuXvlKV8Eg1gdWdDJZw== 0001471112-09-000001.txt : 20090917 0001471112-09-000001.hdr.sgml : 20090917 20090917081238 ACCESSION NUMBER: 0001471112-09-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20090916 DATE AS OF CHANGE: 20090917 EFFECTIVENESS DATE: 20090916 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AUTOCAM CORP/MI CENTRAL INDEX KEY: 0000879235 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] IRS NUMBER: 382790152 STATE OF INCORPORATION: MI FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-134515 FILM NUMBER: 091073439 BUSINESS ADDRESS: STREET 1: 4070 EAST PARIS AVE CITY: KENTWOOD STATE: MI ZIP: 49512 BUSINESS PHONE: 6166980707 MAIL ADDRESS: STREET 1: 4070 EAST PARIS AVENUE SE CITY: KENTWOOD STATE: MI ZIP: 49512 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Autocam Medical Device Holdings, LLC CENTRAL INDEX KEY: 0001472423 IRS NUMBER: 270597509 STATE OF INCORPORATION: MI FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-134517 FILM NUMBER: 091073441 BUSINESS ADDRESS: STREET 1: 4436 BROADMOOR SE CITY: KENTWOOD STATE: MI ZIP: 49512 BUSINESS PHONE: 616-698-0707 MAIL ADDRESS: STREET 1: 4436 BROADMOOR SE CITY: KENTWOOD STATE: MI ZIP: 49512 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Autocam Finance, LLC CENTRAL INDEX KEY: 0001472424 IRS NUMBER: 270726747 STATE OF INCORPORATION: MI FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-134516 FILM NUMBER: 091073440 BUSINESS ADDRESS: STREET 1: 4436 BROADMOOR SE CITY: KENTWOOD STATE: MI ZIP: 49512 BUSINESS PHONE: 616-698-0707 MAIL ADDRESS: STREET 1: 4436 BROADMOOR SE CITY: KENTWOOD STATE: MI ZIP: 49512 D 1 primary_doc.xml X0502 D LIVE 0000879235 AUTOCAM CORP/MI 4436 BROADMOOR SE KENTWOOD MI 49512 616-698-0707 None MICHIGAN Corporation true 0001472423 Autocam Medical Device Holdings, LLC 4436 BROADMOOR SE KENTWOOD MI 49512 616-698-0707 None MICHIGAN Limited Liability Company true 2009 0001472424 Autocam Finance, LLC 4436 BROADMOOR SE KENTWOOD MI 49512 616-698-0707 None MICHIGAN Limited Liability Company true 2009 John C. Kennedy 4436 Broadmoor SE Kentwood MI 49512 Executive Officer Director Mr. Kennedy is: (1) the CEO and a member of the Board of Directors of Autocam Corporation; (2) the President and CEO of Autocam Finance, LLC; and (3) the President and CEO and a member of the Board of Managers of Autocam Medical Device Holdings, LLC. Thomas Reeg 4436 Broadmoor SE Kentwood MI 49512 Director Mr. Reeg is a member of the Board of Directors of Autocam Corporation and a member of the Board of Managers of Autocam Medical Device Holdings, LLC. Ryan Langdon 4436 Broadmoor SE Kentwood MI 49512 Director Mr. Langdon is a member of the Board of Directors of Autocam Corporation and a member of the Board of Managers of Autocam Medical Device Holdings, LLC. Richard Conway 4436 Broadmoor SE Kentwood MI 49512 Director Mr. Conway is a member of the Board of Directors of Autocam Corporation and a member of the Board of Managers of Autocam Medical Device Holdings, LLC. Michael Mainelli 4436 Broadmoor SE Kentwood MI 49512 Director Mr. Mainelli is a member of the Board of Directors of Autocam Corporation and a member of the Board of Managers of Autocam Medical Device Holdings, LLC. David Tomick 4436 Broadmoor SE Kentwood MI 49512 Director Mr. Tomick is a member of the Board of Directors of Autocam Corporation and a member of the Board of Managers of Autocam Medical Device Holdings, LLC. Manufacturing Decline to Disclose 06 false 2009-09-02 false true true The issuances are made as part of a restructuring of Autocam Corporation ("AC"). All investors in the subject issuances were investors in AC prior to said restructuring. 0 25000000 25000000 0 false 3 0 0 0 true No such payments are proposed, other than such payments, if any, that may be payable to a Related Person in the regular course of business for service to an issuer or one or more of its affiliates as a board member, manager, or officer. false AUTOCAM CORP/MI /s/ Brandon J. Stewart Brandon J. Stewart Attorney and Authorized Agent 2009-09-16 Autocam Medical Device Holdings, LLC /s/ Brandon J. Stewart Brandon J. Stewart Attorney and Authorized Agent 2009-09-16 Autocam Finance, LLC /s/ Brandon J. Stewart Brandon J. Stewart Attorney and Authorized Agent 2009-09-16 -----END PRIVACY-ENHANCED MESSAGE-----