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