0001903928-23-000001.txt : 20230821 0001903928-23-000001.hdr.sgml : 20230821 20230821164752 ACCESSION NUMBER: 0001903928-23-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230818 FILED AS OF DATE: 20230821 DATE AS OF CHANGE: 20230821 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Doerr Mark Edward CENTRAL INDEX KEY: 0001903928 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36533 FILM NUMBER: 231189748 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 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 primary_doc.xml PRIMARY DOCUMENT X0508 4 2023-08-18 0 0001402479 MedAvail Holdings, Inc. MDVL 0001903928 Doerr Mark Edward C/O MEDAVAIL TECHNOLOGIES INC. 4720 E COTTON GIN LOOP, SUITE 220 PHOENIX AZ 85040 1 1 0 0 Chief Executive Officer 0 Stock Options (Right to Buy) 8.3 2023-08-18 4 A 0 125000 0 A 2033-08-18 Common Stock 125000 125000 D Restricted Stock Units 2023-08-18 4 A 0 125000 0 A Common Stock 125000 125000 D 1/4th of the shares subject to the option shall vest on August 18, 2024 (the "Initial Vesting Date") and an additional 1/48th of the shares subject to the option shall vest each month thereafter on the same day of the month as the Initial Vesting Date. Each restricted stock unit represents a contingent right to receive one share of Common Stock of MedAvail Holdings, Inc. 1/3rd of the shares subject to the restricted stock units shall vest on each of August 18, 2024, August 18, 2025 and August 18, 2026. /s/Ramona Seabaugh, Attorney-in-Fact for Mark Edward Doerr 2023-08-21