0001402479-21-000033.txt : 20210922
0001402479-21-000033.hdr.sgml : 20210922
20210922202124
ACCESSION NUMBER: 0001402479-21-000033
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210920
FILED AS OF DATE: 20210922
DATE AS OF CHANGE: 20210922
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Seabaugh Ramona
CENTRAL INDEX KEY: 0001879971
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36533
FILM NUMBER: 211270706
MAIL ADDRESS:
STREET 1: C/O MEDAVAIL TECHNOLOGIES INC.
STREET 2: 6665 MILLCREEK DR, UNIT 1
CITY: MISSISSAUGA
STATE: A6
ZIP: L5N 5M4
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
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 6665 MILLCREEK DR
STREET 2: UNIT 1
CITY: MISSISSAUGA
STATE: A6
ZIP: L5N 5M4
BUSINESS PHONE: 973-509-0444
MAIL ADDRESS:
STREET 1: 6665 MILLCREEK DR
STREET 2: UNIT 1
CITY: MISSISSAUGA
STATE: A6
ZIP: L5N 5M4
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
3
1
wf-form3_163235646951632.xml
FORM 3
X0206
3
2021-09-20
0
0001402479
MedAvail Holdings, Inc.
MDVL
0001879971
Seabaugh Ramona
12343 N 129TH PL
SCOTTSDALE
AZ
85259
0
1
0
0
Chief Financial Officer
Stock Option (Right to Buy)
3.19
2031-09-20
Common Stock
184912.0
D
Restricted Stock Units
3.19
2031-09-20
Common Stock
101881.0
D
1. Option granted under the Issuer's 2020 Equity Incentive Plan (the "ESOP Plan"). One forty-eighth (1/48th) of the shares subject to the Option shall be scheduled to vest each month after the Vesting Commencement Date on the same day of the month as the Vesting Commencement Date (or the last day of the month, if there is no corresponding day in a given month), in each case subject to Executive remaining a Service Provider (as defined in the ESOP Plan) through the applicable vesting date. "Vesting Commencement Date" shall mean September 20, 2021.
2. RSU granted under the Issuer's 2020 Equity Incentive Plan. One third (1/3rd) of the shares subject to the RSU shall be scheduled to vest on each of the one (1), two (2), and three (3) year anniversaries of the Vesting Commencement Date such that the RSU shall be scheduled to become fully vested on the three (3) year anniversary of the Vesting Commencement Date, in each case subject to Executive remaining a Service Provider (as defined in the ESOP Plan) through the applicable vesting date. "Vesting Commencement Date" shall mean September 1, 2021.
/s/ Ramona Seabaugh
2021-09-22