Filing Details

Accession Number:
0001415889-16-005612
Form Type:
4
Zero Holdings:
No
Publication Time:
2016-04-21 18:05:41
Reporting Period:
2016-04-19
Filing Date:
2016-04-21
Accepted Time:
2016-04-21 18:05:41
SEC Url:
Form 4 Filing
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
1629409 S Jarrett Gorlin 3279 Hardee Avenue
Atlanta GA 30341
Chief Executive Officer 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 2016-04-19 44,081 $1.23 561,118 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 Warrant to purchase shares of Common Stock Acquisiton 2016-04-19 22,040 $0.00 22,040 $1.30
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
62,840 2016-10-19 2021-04-19 No 4 P Direct
Footnotes
  1. Represents shares held by The Jarrett S. & Rebecca L. Gorlin Family Limited Partnership. Mr. Gorlin disclaims beneficial ownership of these shares.
  2. The Warrant is initially exercisable six months following the date of issuance (04/19/2016) for a period of five (5) years from the date of issuance