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