Specialized Disclosure Report (sd)
June 02 2014 - 3:00PM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM SD
Specialized Disclosure
Report
BAXANO SURGICAL, INC.
(Exact name of registrant as specified
in its charter)
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Delaware
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001-33744
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33-0909022
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(State or other jurisdiction of
incorporation or organization)
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(Commission
File Number)
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(IRS Employer
Identification No.)
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110 Horizon Drive, Suite 230
Raleigh, North Carolina 27615
(Address of principal executive offices)
(Zip Code)
Timothy M. Shannon
Chief Financial Officer
(919) 800-0020
(Name and telephone number, including area
code, of the person to contact in connection with this report.)
Check the appropriate box to indicate the rule pursuant to which
this form is being filed, and provide the period to which the information in this form applies:
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Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2013.
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Section 1 – Conflict Minerals Disclosure
Item 1.01
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Conflict Minerals Disclosure and Report
Section 1502 of Dodd Frank Wall Street Reform and Consumer
Protection Act (“Section 1502”) defines conflict minerals as columbite-tantalite, cassiterite, gold, wolframite, or
their derivatives, which are limited to tantalum, tin, and tungsten for these purposes (“Conflict Minerals”).
As required by Rule 13p-1 of the Securities Exchange Act of
1934, Baxano Surgical, Inc. (“the Company”) conducted a review of its products to determine whether Conflict Minerals
are necessary to the functionality or production of those products. The Company discovered that the Conflict Minerals gold, tantalum
and/or tungsten were contained in six components that are necessary to the functionality or production of certain of its products.
The Company conducted a good faith reasonable country of origin
inquiry (“RCOI”) regarding the Conflict Minerals contained in these components, which confirmed that, during the period
from January 1, 2013 to December 31, 2013, these Conflict Minerals did not come from the Democratic Republic of the Congo or any
adjoining countries. As part of this inquiry, the Company notified its suppliers of components or assemblies containing Conflict
Minerals, and requested and obtained from those suppliers a statement of conformance to the conflict minerals rules under Section
1502 and/or evidence that the source of those Conflict Minerals did not originate from the Democratic Republic of the Congo or
any adjoining countries. The statements and evidence obtained from our suppliers included certifications that the raw materials
used to produce the components or assemblies originated from sources outside of the Democratic Republic of the Congo or any adjoining
countries and are conflict-free in compliance with Section 1502.
Other than the above noted components, the Company does not
believe any of its other components manufactured and sold in 2013 contained any Conflict Minerals.
This Conflict Minerals Disclosure
is also available on the Company’s website:
www.baxanosurgical.com
. The content of any
website referred to in this Form SD is included for general information only and is not incorporated by reference in this Form
SD.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act
of 1934, the registrant has duly caused this report to be signed on its behalf by the duly authorized undersigned.
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Baxano Surgical, Inc.
(Registrant)
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/s/ Timothy M. Shannon
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June 2, 2014
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Name
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Timothy M. Shannon
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(Date)
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Title:
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Chief Financial Officer
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