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Filing Details

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1591165	Medovex Corp.	MDVX	()	4

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1033742	Steve Gorlin	1950 Airport Road, Suite A 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	Disposition	2016-12-01	257,143	$1.75	704,360	No	4	P	Direct
Common Stock	Acquisiton	2016-12-01	314,286	$1.75	1,018,592	No	4	P	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	P	Direct
No	4	P	Direct

Reported Derivative Transactions

Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Warrants	Disposition	2016-12-01	112,500	$0.00	112,500	$1.85

Remaning Holdings	Exercise Date	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
387,500	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.
The 257,143 shares represent a portion of the total number of shares issued to Mr. Gorlin against the conversion of a $1,000,000 promissory note (the "Note").
The 314,286 shares were issued against the conversion of the Note.
Represents an assignment of 112,500 warrants to purchase shares of common stock issued to the Reporting Person in connection with the Note.