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