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