0001209191-17-049817.txt : 20170822 0001209191-17-049817.hdr.sgml : 20170822 20170822161724 ACCESSION NUMBER: 0001209191-17-049817 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170425 FILED AS OF DATE: 20170822 DATE AS OF CHANGE: 20170822 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STARK BRIAN JAY CENTRAL INDEX KEY: 0001010208 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36889 FILM NUMBER: 171045343 MAIL ADDRESS: STREET 1: 3600 SOUTH LAKE DRIVE CITY: ST. FRANCIS STATE: WI ZIP: 53235 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SteadyMed Ltd. CENTRAL INDEX KEY: 0001619087 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: L3 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5 OPPENHEIMER STREET CITY: REHOVOT STATE: L3 ZIP: 76701 BUSINESS PHONE: (925) 272-4991 MAIL ADDRESS: STREET 1: 5 OPPENHEIMER STREET CITY: REHOVOT STATE: L3 ZIP: 76701 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-04-25 0 0001619087 SteadyMed Ltd. STDY 0001010208 STARK BRIAN JAY C/O STEADYMED THERAPEUTICS, INC. 2603 CAMINO RAMON, SUITE 350 SAN RAMON CA 94583 1 0 1 0 Ordinary Shares 2017-04-25 4 P 0 419300 5.90 A 2937938 D Ordinary Shares 2017-04-25 4 P 0 83750 5.90 A 1166428 I See Footnote Ordinary Shares 15780 I See Footnote Ordinary Shares 253309 I By Brian Stark and Debra Altshul Stark Ordinary Shares 323500 I By Debra Altshul Stark Warrants to Purchase Ordinary Shares 6.785 2017-04-25 4 P 0 209650 0.125 A 2022-04-24 Ordinary Shares 209650 209650 D Warrants to Purchase Ordinary Shares 6.785 2017-04-25 4 P 0 41875 0.125 A 2022-04-24 Ordinary Shares 41875 41875 I See Footnote Reflects the correction of the number of shares beneficially owned from the amounts previously reported in Reporting Person's Section 16 filings. Specifically, the August 4, 2016 Form 4 under reported 5 shares due to a clerical computational error, which error the Reporting Person did not discover until now and so was carried forward in subsequent Forms 4. By Brown Bear Holdings LP. Stark Raving Mad LLC is the GP of the Partnership and the Reporting Person is the sole manager of the GP. By the Stark Family Trust. The Reporting Person is the trustee of the Stark Family Trust. Warrants are fully vested and immediately exercisable. /s/ David Nassif, Attorney-In-Fact 2017-08-21