Form D
View Original Filing
Notice of Exempt Offering of Securities
Item 1. Issuer's Identity
Name of Issuer:
ORTHOPEDIATRICS CORP
Jurisdiction of Incorporation/Organization
DE
Year of Incorporation/Organization
2007
Item 2 Issuer Principal Place of Business and Contact Information
210 NORTH BUFFALO STREET
WARSAW, IN 46580
Phone Number:
subscription required
Item 3. Related Persons
Name
NICK A DEETER
Address
subscription required
Relationship(s)
- EXECUTIVE OFFICER
- DIRECTOR
Clarification of Response
Item 3. Related Persons
Name
GREG ODLE
Address
subscription required
Relationship(s)
- EXECUTIVE OFFICER
- DIRECTOR
Clarification of Response
Item 3. Related Persons
Name
DAVID BAILEY
Address
subscription required
Relationship(s)
- EXECUTIVE OFFICER
- DIRECTOR
Clarification of Response
Item 3. Related Persons
Name
GARY BARNETT
Address
subscription required
Relationship(s)
- EXECUTIVE OFFICER
- DIRECTOR
Clarification of Response
Item 3. Related Persons
Name
GREG DOWNEY
Address
subscription required
Relationship(s)
- EXECUTIVE OFFICER
- DIRECTOR
Clarification of Response
Item 3. Related Persons
Name
ISAAC MENSAH
Address
subscription required
Relationship(s)
- EXECUTIVE OFFICER
- DIRECTOR
Clarification of Response
Item 3. Related Persons
Name
TERRY SCHLOTTERBACK
Address
subscription required
Relationship(s)
- EXECUTIVE OFFICER
- DIRECTOR
Clarification of Response
Item 3. Related Persons
Name
DANIEL J GERRITZEN
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
BOB VON SEGGERN
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
MARK SCRAFTON
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
THOMAS SLAGLE
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
JEFF MINAUDO
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
DAVID DANIELS
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
JAMES KEEFER
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
WARREN STABILER
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
JOSEPH JACQUES
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
LARRY ZAYAT
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
PAUL CLARK
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
RYAN CHILDS
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
BERNIE B BERRY III
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
MARK C THRODAHL
Address
subscription required
Relationship(s)
Clarification of Response
Item 4. Industry Group
OTHER HEALTH CARE
Item 5. Issuer Size
Revenue Range (for issuer not specifying "hedge" or "other investment" fund in Item 4 above)
DECLINE TO DISCLOSE
Item 6. Federal Exemptions and Exclusions Claimed
Item 7. Type of Filing
New Notice
Date of First Sale in this Offering:
First Sale Yet to Occur
Item 8. Duration of Offering
Does the issuer intend this offering to last more than one year?
No
Item 9. Type(s) of Securities Offered
Item 10. Business Combination Transaction
Is this offering being made in connection with a business combination
transaction, such as a merger, acquisition or exchange offer?
No
Clarification of Response
Item 11. Minimum Investment
Minimum Investment accepted from any outside investor
50000
Item 12. Sales Compensation
Recipient
CITY SECURITIES CORPORATION
Recipient CRD Number
1459
(Associated) Broker or Dealer)
CITY SECURITIES CORPORATION
(Associated) Broker or Dealer CRD Number
1459
Address
30 SOUTH MERIDIAN STREET
SUITE 600
INDIANAPOLIS, IN 46204
States of Solicitation
Item 13. Offering and Sales Amounts
Total Offering Amount
6000000
Total Amount Sold
0
Total Remaining to be Sold
6000000
Clarification of Response
Item 14. Investors
Securities in the offering have been or may be sold to persons
who do not qualify as accredited investors,
Number of non-accredited investors who already have invested in the offering:
Total number of investors who already have invested in the offering:
0
Item 15. Sales Commissions and Finders' Fees Expenses
Sales Commissions:
245000.0 Is an estimate
Finders' Fees
0.0
Clarification of Response
MINIMUM PLACEMENT FEE TO CITY SECURITIES CORPORATION IS $70,000 AND MAXIMUM IS $420,000 (DEPENDING ON THE SIZE OF THE OFFERING)
Item 16. Use of Proceeds
Provide the amount of the gross proceeds of the offering
that has been or is proposed to be used for payments to any of the persons required
to be named as executive officers,directors or promoters in response to Item 3 above.
0.0 Is an estimate
Clarification of Response
Signature and Submission
Issuer Name
ORTHOPEDIATRICS CORP
Issuer Signature
DANIEL J. GERRITZEN
Signer Name
DANIEL J. GERRITZEN
Signer Title
VICE PRESIDENT OF LEGAL AND GENERAL COUNSEL
Signature Date
10/16/2009