0001415889-21-003838.txt : 20210810
0001415889-21-003838.hdr.sgml : 20210810
20210810173504
ACCESSION NUMBER: 0001415889-21-003838
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210809
FILED AS OF DATE: 20210810
DATE AS OF CHANGE: 20210810
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: 211161224
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
form4-08102021_020856.xml
X0306
4
2021-08-09
0001449349
VIVOS INC
RDGL
0001486806
Korenko Michael K
C/O VIVOS INC
719 JADWIN AVENUE
RICHLAND
WA
99352
true
true
false
false
CEO AND PRESIDENT
Common Stock
2021-08-09
4
S
0
89689
0.1000
D
0
I
By Elaine M. Korenko Bypass Trust
Common Stock
2021-08-10
4
P
0
89689
0.1076
A
10094259
D
The Reporting Person disclaims beneficial ownership with respect to these shares.
/s/ Michael K. Korenko
2021-08-10