Filing Details

Accession Number:
0001279311-11-000006
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-09-13 12:42:44
Reporting Period:
2011-09-09
Filing Date:
2011-09-13
Accepted Time:
2011-09-13 12:42:44
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1066764 Spine Pain Management Inc SPIN Services-Hospitals (8060) 980187705
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1279311 William Donovan 903 Creekwood Way
Houston TX 77024
Ceo Yes Yes Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Spine Pain Management, Inc Acquisiton 2011-09-12 5,000 $0.99 3,066,941 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Spine Pain Management Inc. Spine Pain Management, Inc Acquisiton 2011-09-09 50,000 $0.08 50,000 $0.77
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
550,000 2011-09-06 2016-06-06 No 4 P Direct