0001213900-18-000175.txt : 20180105 0001213900-18-000175.hdr.sgml : 20180105 20180105160714 ACCESSION NUMBER: 0001213900-18-000175 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180103 FILED AS OF DATE: 20180105 DATE AS OF CHANGE: 20180105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MANDEL VICTOR E CENTRAL INDEX KEY: 0001262047 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36533 FILM NUMBER: 18513491 MAIL ADDRESS: STREET 1: PO BOX 5962 CITY: WASHINGTON STATE: DC ZIP: 20016 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MYOS RENS TECHNOLOGY INC. CENTRAL INDEX KEY: 0001402479 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 900772394 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 45 HORSEHILL ROAD STREET 2: SUITE 106 CITY: CEDAR KNOLLS STATE: NJ ZIP: 07927 BUSINESS PHONE: 973-509-0444 MAIL ADDRESS: STREET 1: 45 HORSEHILL ROAD STREET 2: SUITE 106 CITY: CEDAR KNOLLS STATE: NJ ZIP: 07927 FORMER COMPANY: FORMER CONFORMED NAME: MYOS Corp DATE OF NAME CHANGE: 20120521 FORMER COMPANY: FORMER CONFORMED NAME: Atlas Therapeutics Corp DATE OF NAME CHANGE: 20100719 FORMER COMPANY: FORMER CONFORMED NAME: Rough Tide Marine Operations, Inc. DATE OF NAME CHANGE: 20100528 4 1 f4010318mandel_myos.xml OWNERSHIP DOCUMENT X0306 4 2018-01-03 0 0001402479 MYOS RENS TECHNOLOGY INC. MYOS 0001262047 MANDEL VICTOR E C/O MYOS RENS TECHNOLOGY INC. 45 HORSEHILL ROAD, SUITE 106 CEDAR KNOLLS NJ 07927 1 0 0 0 Common Stock 2018-01-03 4 A 0 10110 0 A 49125 D The shares of common stock were awarded to the reporting person under the registrant's 2012 Equity Incentive Plan and will vest immediately. /s/ Victor Mandel 2018-01-05