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