Filing Details
- Accession Number:
- 0000899243-16-036392
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2016-12-29 15:54:49
- Reporting Period:
- 2016-12-19
- Filing Date:
- 2016-12-29
- Accepted Time:
- 2016-12-29 15:54:49
- SEC Url:
- Form 4 Filing
Issuer
Cik | Name | Symbol | Sector (SIC) | IRS No |
---|---|---|---|---|
319016 | Fuse Medical Inc. | FZMD | Wholesale-Medical, Dental & Hospital Equipment & Supplies (5047) | 591224913 |
Insiders
Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
---|---|---|---|---|---|---|---|
1688047 | Nc 143 Family Holdings, Lp | 1565 North Central Expwy, Suite 200 Richardson TX 75080 | No | No | Yes | No | |
1688048 | W Mark Brooks | 1565 North Central Expressway, 2Nd Floor Richardson TX 75080 | See Remarks | Yes | Yes | Yes | 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 | 2016-12-19 | 5,000,000 | $0.08 | 5,000,000 | No | 4 | P | Indirect | See Footnote |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | P | Indirect | See Footnote |
Footnotes
- These securities are directly owned by NC 143 Family Holdings, LP, a Texas limited partnership ("NC 143"). Mark W. Brooks is the sole trustee of Medtech Family Trust dated October 1, 2014 ("Medtech"), the sole manager of NC 143 Family Holdings GP LLC (the "GP"), the sole general partner of NC 143. Accordingly, each of Mark W. Brooks, Medtech and the GP indirectly beneficially owns the reported securities.