0001104659-23-073010.txt : 20230620
0001104659-23-073010.hdr.sgml : 20230620
20230620180937
ACCESSION NUMBER: 0001104659-23-073010
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230615
FILED AS OF DATE: 20230620
DATE AS OF CHANGE: 20230620
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Johnson Paul D
CENTRAL INDEX KEY: 0001891761
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36533
FILM NUMBER: 231026756
MAIL ADDRESS:
STREET 1: 440 N BARRANCA AVE #3550
CITY: COVINA
STATE: CA
ZIP: 91723
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MedAvail Holdings, Inc.
CENTRAL INDEX KEY: 0001402479
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912]
IRS NUMBER: 900772394
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4720 E COTTON GIN LOOP
STREET 2: SUITE 220
CITY: PHOENIX
STATE: AZ
ZIP: 85040
BUSINESS PHONE: 1.877.830.0826
MAIL ADDRESS:
STREET 1: 4720 E COTTON GIN LOOP
STREET 2: SUITE 220
CITY: PHOENIX
STATE: AZ
ZIP: 85040
FORMER COMPANY:
FORMER CONFORMED NAME: MYOS RENS TECHNOLOGY INC.
DATE OF NAME CHANGE: 20160322
FORMER COMPANY:
FORMER CONFORMED NAME: MYOS Corp
DATE OF NAME CHANGE: 20120521
FORMER COMPANY:
FORMER CONFORMED NAME: Atlas Therapeutics Corp
DATE OF NAME CHANGE: 20100719
4
1
tm2319202-1_4seq1.xml
FORM 4
X0407
4
2023-06-15
0
0001402479
MedAvail Holdings, Inc.
MDVL
0001891761
Johnson Paul D
C/O MEDAVAIL HOLDINGS, INC.
4720 E COTTON GIN LOOP, SUITE 220
PHOENIX
AZ
85040
1
0
0
0
0
Stock Options (Right to Buy)
0.305
2023-06-15
4
A
0
545455
0
A
2033-06-15
Common Stock
545455
545455
D
All shares subject to the option grant will vest on the earlier of the one-year anniversary of the date of grant, or the date of the next annual meeting of stockholders following the date of grant, subject to continued service of the Board through each vesting date.
/s/Ramona Seabaugh, Attorney-in-Fact for Paul D.Johnson
2023-06-20