0001493152-17-008081.txt : 20170721 0001493152-17-008081.hdr.sgml : 20170721 20170721154138 ACCESSION NUMBER: 0001493152-17-008081 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170630 FILED AS OF DATE: 20170721 DATE AS OF CHANGE: 20170721 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: 17976527 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 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 4 1 form4.xml X0306 4 2017-06-30 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 2017-04-30 4 A 0 1571429 0.21 A 8619328 D Common Stock par value $0.0001 2017-06-30 4 A 0 501429 0.21 A 9120757 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 0.27 2017-01-11 2020-01-10 Common Stock 1924697 1924697 D Warrant 0.27 2017-02-23 2020-02-22 Common Stock 351204 351204 D Option 0.27 Common Stock 660000 660000 D Issuance Pursuant to Fountainhead Consultancy Agreement. Exercisable upon achievement of certain milestones prior to March 31, 2018 for a period of three years from date of vesting. /s/ Mark Andrews For and on behalf of Berwin Limited Director 2017-07-21