0001493152-17-010660.txt : 20170915
0001493152-17-010660.hdr.sgml : 20170915
20170915150232
ACCESSION NUMBER: 0001493152-17-010660
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170804
FILED AS OF DATE: 20170915
DATE AS OF CHANGE: 20170915
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ZACHARIOU PETER C
CENTRAL INDEX KEY: 0001066102
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34932
FILM NUMBER: 171087817
MAIL ADDRESS:
STREET 1: C/O QUE MANAGEMENT INC
STREET 2: 180 VENICK 13RH FL
CITY: NEW YORK
STATE: NY
ZIP: 10014
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VYCOR MEDICAL INC
CENTRAL INDEX KEY: 0001424768
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 203369218
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 951 BROKEN SOUND PARKWAY
STREET 2: SUITE 320
CITY: BOCA RATON,
STATE: FL
ZIP: 33487
BUSINESS PHONE: 562.558.2000
MAIL ADDRESS:
STREET 1: 951 BROKEN SOUND PARKWAY
STREET 2: SUITE 320
CITY: BOCA RATON,
STATE: FL
ZIP: 33487
4
1
form4.xml
X0306
4
2017-08-04
0
0001424768
VYCOR MEDICAL INC
VYCO
0001066102
ZACHARIOU PETER C
132 CALO DEN REAL
IBIZA
U3
07830
SPAIN
1
1
0
0
Chief Executive Officer
Preferred Series D par value $0.001
69487
D
Stock Option
0.78
2016-03-23
2019-03-23
Common Stock
220000
220000
D
Warrant
0.30
2017-08-05
4
J
0
161598
0
A
2017-08-05
2020-08-04
Common Stock
161598
161598
D
Warrants issued pursuant to Share Exchange Agreement dated August 5, 2014
/s/ Peter C. Zachariou
2017-09-15