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