0001213900-16-016485.txt : 20160830 0001213900-16-016485.hdr.sgml : 20160830 20160830172050 ACCESSION NUMBER: 0001213900-16-016485 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160512 FILED AS OF DATE: 20160830 DATE AS OF CHANGE: 20160830 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: 600 UNIVERSITY STREET, SUITE 2409 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: 206-395-4152 MAIL ADDRESS: STREET 1: 600 UNIVERSITY STREET, SUITE 2409 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: Corkern Carla CENTRAL INDEX KEY: 0001640417 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 333-06208 FILM NUMBER: 161861384 MAIL ADDRESS: STREET 1: 5048 90TH AVE SE CITY: MERCER ISLAND STATE: WA ZIP: 98040 4 1 f4051216corkern_modsysinter.xml OWNERSHIP DOCUMENT X0306 4 2016-05-12 0 0001029581 Modsys International Ltd MDSY 0001640417 Corkern Carla 600 UNIVERSITY STREET, SUITE 2409 SEATTLE WA 98101 1 0 0 0 Common Stock-Restricted Stock Units 2016-05-12 4 M 0 833 1.6 A 30833 D Common Stock-Restricted Stock Units 2016-06-12 4 M 0 833 1.51 A 31667 D Common Stock-Restricted Stock Units 2016-07-12 4 M 0 833 1.51 A 32500 D Common Stock-Restricted Stock Units 2016-08-12 4 M 0 833 1.55 A 33333 D /s/ Carla Corkern 2016-08-30