0001415889-19-000143.txt : 20190208
0001415889-19-000143.hdr.sgml : 20190208
20190208161119
ACCESSION NUMBER: 0001415889-19-000143
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181231
FILED AS OF DATE: 20190208
DATE AS OF CHANGE: 20190208
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Petrelli Anthony Benedict
CENTRAL INDEX KEY: 0001354750
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37714
FILM NUMBER: 19579994
MAIL ADDRESS:
STREET 1: 6250 RAIN DANCE TRAIL
CITY: LITTLETON
STATE: CO
ZIP: 80125
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Sensus Healthcare, Inc.
CENTRAL INDEX KEY: 0001494891
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 271647271
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 851 BROKEN SOUND PARKWAY NW
STREET 2: SUITE 215
CITY: BOCA RATON
STATE: FL
ZIP: 33487
BUSINESS PHONE: 561-922-5808
MAIL ADDRESS:
STREET 1: 851 BROKEN SOUND PARKWAY NW
STREET 2: SUITE 215
CITY: BOCA RATON
STATE: FL
ZIP: 33487
FORMER COMPANY:
FORMER CONFORMED NAME: Sensus Healthcare, LLC
DATE OF NAME CHANGE: 20100622
5
1
form5-02082019_010206.xml
X0306
5
2018-12-31
0
1
0001494891
Sensus Healthcare, Inc.
SRTS
0001354750
Petrelli Anthony Benedict
851 BROKEN SOUND PARKWAY NW STE 215
BOCA RATON
FL
33301
true
false
false
false
Common Stock
2018-01-11
4
M
0
26614
4.58
A
58627
D
Common Stock
2018-01-11
4
F
0
22161
5.50
D
36466
D
Common Stock Warrants
4.58
2018-01-11
4
M
0
26614
0
D
2013-02-01
2018-02-01
Common Stock
26614
0
D
Cashless exercise of warrants.
/s/ Anthony Petrelli
2019-02-08