0001213900-16-019586.txt : 20161221 0001213900-16-019586.hdr.sgml : 20161221 20161221123711 ACCESSION NUMBER: 0001213900-16-019586 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161109 FILED AS OF DATE: 20161221 DATE AS OF CHANGE: 20161221 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: 6600 LBJ FREEWAY STREET 2: STE 210 CITY: DALLAS STATE: TX ZIP: 75240 BUSINESS PHONE: 206-395-4152 MAIL ADDRESS: STREET 1: 6600 LBJ FREEWAY STREET 2: STE 210 CITY: DALLAS STATE: TX ZIP: 75240 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: Dunham Matthew CENTRAL INDEX KEY: 0001689219 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 333-06208 FILM NUMBER: 162063385 MAIL ADDRESS: STREET 1: 2767 S UTICA AVE CITY: TULSA STATE: TX ZIP: 74114 4 1 f4110916dunham_modsysinter.xml OWNERSHIP DOCUMENT X0306 4 2016-11-09 0 0001029581 Modsys International Ltd MDSY 0001689219 Dunham Matthew 6600 LBJ FREEWAY, STE 210 DALLAS TX 75240 1 0 0 0 Common Stock-Restricted Stock Units 2016-11-09 4 M 0 833 1.19 A 1667 D Common Stock-Restricted Stock Units 2016-12-09 4 M 0 833 1.20 A 2500 D /s/Matt Dunham 2016-12-21