0001213900-16-010561.txt : 20160203 0001213900-16-010561.hdr.sgml : 20160203 20160203105318 ACCESSION NUMBER: 0001213900-16-010561 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140101 FILED AS OF DATE: 20160203 DATE AS OF CHANGE: 20160203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Modsys International Ltd CENTRAL INDEX KEY: 0001029581 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371] IRS NUMBER: 000000000 STATE OF INCORPORATION: L3 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: TWO UNION SQUARE, SUITE 4616 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: 206-395-4152 MAIL ADDRESS: STREET 1: TWO UNION SQUARE, SUITE 4616 CITY: SEATTLE STATE: WA ZIP: 98101 FORMER COMPANY: FORMER CONFORMED NAME: BLUEPHOENIX SOLUTIONS LTD DATE OF NAME CHANGE: 20030811 FORMER COMPANY: FORMER CONFORMED NAME: CRYSTAL SYSTEMS SOLUTIONS LTD DATE OF NAME CHANGE: 19961224 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bell Matthew CENTRAL INDEX KEY: 0001665761 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 333-06208 FILM NUMBER: 161383600 MAIL ADDRESS: STREET 1: 1611 MCGILVRA BLVD E CITY: SEATTLE STATE: WA ZIP: 98112 3 1 f3010114bell_modsys.xml OWNERSHIP DOCUMENT X0206 3 2014-01-01 0 0001029581 Modsys International Ltd MDSY 0001665761 Bell Matthew 600 UNIVERSITY STREET, SUITE 2409 SEATTLE WA 98101 0 1 0 0 CEO Common Stock - Restricted Stock Units 47917 D Common Stock - Options 191667 D Restricted Stock Units 0.0 2022-03-05 Common Stock 27083 D Options 1.80 2022-03-05 Common Stock 108333 D 2,083 RSUs vested monthly until March 5, 2015. 8,333 options vested monthly until March 5, 2015. /s/ Matt Bell 2016-02-03