0001179110-17-009598.txt : 20170626 0001179110-17-009598.hdr.sgml : 20170626 20170626171853 ACCESSION NUMBER: 0001179110-17-009598 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170622 FILED AS OF DATE: 20170626 DATE AS OF CHANGE: 20170626 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Skyline Medical Inc. CENTRAL INDEX KEY: 0001446159 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 331007393 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2915 COMMERS DRIVE, STREET 2: SUITE 900 CITY: EAGAN STATE: MN ZIP: 55121 BUSINESS PHONE: 651-389-4800 MAIL ADDRESS: STREET 1: 2915 COMMERS DRIVE, STREET 2: SUITE 900 CITY: EAGAN STATE: MN ZIP: 55121 FORMER COMPANY: FORMER CONFORMED NAME: BioDrain Medical, Inc. DATE OF NAME CHANGE: 20080925 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MYERS ROBERT L CENTRAL INDEX KEY: 0001553600 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36790 FILM NUMBER: 17930608 MAIL ADDRESS: STREET 1: 4765 BEACON HILL ROAD CITY: EAGAN STATE: MN ZIP: 55122 4 1 edgar.xml FORM 4 - X0306 4 2017-06-22 0 0001446159 Skyline Medical Inc. SKLN 0001553600 MYERS ROBERT L 2915 COMMERS DRIVE, SUITE 900 EAGAN MN 55121 0 1 0 0 Chief Financial Officer Common Stock 4 I By the Reporting Person's Son Common Stock 761 D Stock Options (right to buy) 1.47 2017-06-22 4 A 0 304110 0 A 2027-06-22 Common Stock 304110 304110 D Share ownership totals have been adjusted to reflect a 1 for 25 reverse stock split effected by the issuer on October 27, 2016. 138,110 shares vest immediately. The remainder, 166,000 shares, vests quarterly beginning on 1/1/2018 through 10/1/2019. /s/ Bob Myers 2017-06-26