0001415889-21-002889.txt : 20210608
0001415889-21-002889.hdr.sgml : 20210608
20210608195854
ACCESSION NUMBER: 0001415889-21-002889
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210607
FILED AS OF DATE: 20210608
DATE AS OF CHANGE: 20210608
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Korenko Michael K
CENTRAL INDEX KEY: 0001486806
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53497
FILM NUMBER: 211003639
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
1
form4-06082021_040638.xml
X0306
4
2021-06-07
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
Common Stock
2021-06-07
4
M
0
2500000
0.024
A
10594259
D
Common Stock
2021-06-07
4
F
0
500000
0.12
D
10094259
D
Stock Options
0.024
2021-06-07
4
D
0
16000000
D
2026-07-07
Common Stock
16000000
2500000
D
Stock Options
0.024
2021-06-07
4
M
0
2500000
0.024
D
2026-07-07
Common Stock
2500000
0
D
Stock 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.
The reporting person irrevocably surrendered the options to the Issuer for no consideration.
/s/ Michael K. Korenko
2021-06-08