0001493152-17-000652.txt : 20170119 0001493152-17-000652.hdr.sgml : 20170119 20170119174034 ACCESSION NUMBER: 0001493152-17-000652 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170111 FILED AS OF DATE: 20170119 DATE AS OF CHANGE: 20170119 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VYCOR MEDICAL INC CENTRAL INDEX KEY: 0001424768 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 203369218 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6401 CONGRESS AVE STREET 2: SUITE 140 CITY: BOCA RATON, STATE: FL ZIP: 33487 BUSINESS PHONE: 562.558.2000 MAIL ADDRESS: STREET 1: 6401 CONGRESS AVE STREET 2: SUITE 140 CITY: BOCA RATON, STATE: FL ZIP: 33487 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FOUNTAINHEAD CAPITAL MANAGEMENT LTD CENTRAL INDEX KEY: 0001399726 STATE OF INCORPORATION: X0 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34932 FILM NUMBER: 17536988 BUSINESS ADDRESS: STREET 1: PORTMAN HOUSE HUE STREET STREET 2: ST HELIER CITY: JERSEY CHANNEL ISLANDS STATE: X0 ZIP: JE45RP BUSINESS PHONE: 44 0 1 534 630 112 MAIL ADDRESS: STREET 1: PORTMAN HOUSE HUE STREET STREET 2: ST HELIER CITY: JERSEY CHANNEL ISLANDS STATE: X0 ZIP: JE45RP 4 1 form4.xml X0306 4 2017-01-11 0 0001424768 VYCOR MEDICAL INC VYCO 0001399726 FOUNTAINHEAD CAPITAL MANAGEMENT LTD PORTMAN HOUSE HUE STREET ST HELIER JERSEY CHANNEL ISLANDS X0 JE45RP UNITED KINGDOM 0 0 1 0 Preferred Series D par value $0.0001 188.363 D Common Stock par value $0.0001 2017-01-11 4 A 0 1924697 0.21 A 6553838 D Warrant 1.88 2010-02-10 2017-08-04 Common Stock 343.411 343.411 D Warrant 2.62 2010-09-29 2017-08-04 Common Stock 337.517 337.517 D Warrant 3.08 2014-08-04 2017-08-04 Common Stock 572.613 572.613 D Warrant 2.05 2014-04-25 2017-04-24 Common Stock 878 878 D Warrant 3.08 2014-04-25 2017-04-24 Common Stock 878 878 D Warrant 0.27 2017-01-11 4 J 0 1924697 0.00 A 2017-01-11 2020-01-10 Common Stock 1924697 1924697 D Acquired in connection with purchase of 1,924,697 shares of common stock in a private placement by the issuer. /s/ Mark Andrews For and on behalf of Berwin Limited Director 2017-01-19