0001415889-20-000140.txt : 20200117
0001415889-20-000140.hdr.sgml : 20200117
20200117194044
ACCESSION NUMBER: 0001415889-20-000140
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191231
FILED AS OF DATE: 20200117
DATE AS OF CHANGE: 20200117
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Korenko Michael K
CENTRAL INDEX KEY: 0001486806
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53497
FILM NUMBER: 20534771
MAIL ADDRESS:
STREET 1: 6208 W OKANOGAN AVE
CITY: KENNEWICK
STATE: WA
ZIP: 99336
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VIVOS INC
CENTRAL INDEX KEY: 0001449349
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 800138937
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 719 JADWIN AVENUE
CITY: RICHLAND
STATE: WA
ZIP: 99352
BUSINESS PHONE: 509-736-4000
MAIL ADDRESS:
STREET 1: 719 JADWIN AVENUE
CITY: RICHLAND
STATE: WA
ZIP: 99352
FORMER COMPANY:
FORMER CONFORMED NAME: ADVANCED MEDICAL ISOTOPE Corp
DATE OF NAME CHANGE: 20081103
4/A
1
form4a-01172020_040128.xml
X0306
4/A
2019-12-31
2020-01-15
0001449349
VIVOS INC
RDGL
0001486806
Korenko Michael K
C/O VIVOS INC
719 JADWIN AVENUE
RICHLAND
WA
99352
false
true
false
false
CEO AND PRESIDENT
Options
0.024
2019-12-31
5
A
0
656250
0.024
A
2029-06-04
Common Stock
656250
2625000
D
Series A Convertible Preferred Stock
0.50
2017-09-01
Common Stock
125000
100000
D
Warrants
0.08
2018-10-24
2020-10-24
Common Stock
1762321
1762321
D
Options
0.112
2018-10-24
2025-10-24
Common Stock
8120152
8120152
D
Warrants
0.08
2018-10-10
2020-10-10
Common Stock
225000
225000
D
These options vested as follows: 25% on September 30, 2019; 50% based on performance metrics being met and certified by the Board of Directors effective September 30, 2019; and the remaining 25% on December 31, 2019.
Not applicable as Series A Convertible Preferred Stock does not have an expiration date.
This amendment to the Form 4 originally filed on January 15, 2020 (the "Original Filing") is being filed to correct the exercise prices and the shares of Options held by the Reporting
Person following the Issuer's 1-for-8 reverse stock split effective June 25, 2019, each of which were reported on a pre-split basis in the Original Filing.
/s/ Michael K. Korenko
2019-01-16