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