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