0001415889-21-003700.txt : 20210723
0001415889-21-003700.hdr.sgml : 20210723
20210723114045
ACCESSION NUMBER: 0001415889-21-003700
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210721
FILED AS OF DATE: 20210723
DATE AS OF CHANGE: 20210723
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Petrelli Anthony Benedict
CENTRAL INDEX KEY: 0001354750
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37714
FILM NUMBER: 211109901
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
4
1
form4-07232021_080733.xml
X0306
4
2021-07-21
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
2021-07-21
4
A
0
10000
0
A
46466
D
Represents 10,000 shares of restricted stock granted to the reporting person pursuant to the Sensus Healthcare, Inc. 2017 Equity Incentive Plan which will vest in four equal annual installments beginning on the first anniversary of the date of grant.
/s/ Anthony B. Petrelli
2021-07-23