0001213900-16-010643.txt : 20160205 0001213900-16-010643.hdr.sgml : 20160205 20160205194414 ACCESSION NUMBER: 0001213900-16-010643 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140101 FILED AS OF DATE: 20160205 DATE AS OF CHANGE: 20160205 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: Jurewicz Thomas CENTRAL INDEX KEY: 0001640479 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 333-06208 FILM NUMBER: 161393692 MAIL ADDRESS: STREET 1: 1011 G PLACE CITY: GOULDSBORO STATE: PA ZIP: 18424 FORMER NAME: FORMER CONFORMED NAME: Jurewicz Thomasq DATE OF NAME CHANGE: 20150424 3 1 f3010114jurewicz_modsys.xml OWNERSHIP DOCUMENT X0206 3 2014-01-01 0 0001029581 Modsys International Ltd MDSY 0001640479 Jurewicz Thomas 600 UNIVERSITY STREET, SUITE 2409 SEATTLE WA 98101 1 0 0 0 Common Stock - Restricted Stock Units 11667 D Restricted Stock Units 0.0 2022-12-07 Common Stock 18333 D 833 RSUs vested monthly until December 7, 2015. /s/ Thomas Jurewicz 2016-02-05