0001493152-21-010737.txt : 20210507
0001493152-21-010737.hdr.sgml : 20210507
20210507142258
ACCESSION NUMBER: 0001493152-21-010737
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210503
FILED AS OF DATE: 20210507
DATE AS OF CHANGE: 20210507
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: 21901858
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
ownership.xml
X0306
4
2021-05-03
0
0001449349
VIVOS INC
RDGL
0001486806
Korenko Michael K
C/O VIVOS INC
719 JADWIN AVENUE
RICHLAND,
WA
99352
0
1
0
0
CEO AND PRESIDENT
Restricted Stock Units
2021-05-03
4
A
0
15000000
0
A
Common Stock
15000000
15000000
D
Restricted Stock Units
2021-05-03
4
A
0
15000000
0
A
Common Stock
15000000
15000000
D
Each restricted stock unit represents a contingent right to receive one share of common stock.
Represents grant of time based restricted stock units. The time based restricted stock units vest in three equal installments beginning on the date of the grant and on the two anniversaries of the grant date thereafter, subject to the Reporting P erson's continued employment. Unless the reporting person defers delivery of the Vested Shares, the Vested shares will be delivered to the Reporting P erson in equal installments in each calendar quarter following the vesting date.
Represents grant of performance based restricted stock units. The performance based restricted stock units vest in three equal installments on the nine month, eighteen month, and twenty-seven month anniversaries of the grant date, based on achievement of certain performance goals and subject to the Reporting P erson's continued employment.
/s/ Michael K. Korenko
2021-05-07