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Filing Details

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1591165	Medovex Corp.	MDVX	Surgical & Medical Instruments & Apparatus (3841)	000000000

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1033742	Steve Gorlin	3279 Hardee Avenue Atlanta GA 30341		No	No	No	No

Reported Non-Derivative Transactions

Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Acquisiton	2015-11-24	40,000	$1.45	369,462	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
Common Stock	Convertible Note	Acquisiton	2015-11-09	1	$2,000,000.00	0	$0.00
Common Stock	Warrants	Acquisiton	2015-11-09	500,000	$1,100,000.00	500,000	$2.20

Remaning Holdings	Exercise Date	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
1	2015-11-09	2015-11-09	No	4	P	Direct
0	2015-11-09	2018-11-09	No	4	P	Direct

Footnotes

Includes 125,000 shares held by Mr. Gorlin's spouse, Deborah Gorlin. Mr. Gorlin disclaims beneficial ownership of Deborah Gorlin's shares.
On November 9, 2015, the Company issued a convertible promissory note (the "Note") to Steve Gorlin. The Note's principal amount is $2,000,000 and bears interest at a rate of 5.5% annually and will mature two years from the issuance date. The Note is convertible such number of shares of common stock equal to the quotient of (a) the outstanding principal amount and accrued interest of the Note as of date of conversion, divided by (b) $2.00, subject to adjustment.
In addition to the Note, the Reporting Person received a warrant to purchase 500,000 shares of common stock, exercisable at $2.20 per share for three years.