0001144204-17-054092.txt : 20171025
0001144204-17-054092.hdr.sgml : 20171025
20171025160542
ACCESSION NUMBER: 0001144204-17-054092
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171023
FILED AS OF DATE: 20171025
DATE AS OF CHANGE: 20171025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bahagon Yossi
CENTRAL INDEX KEY: 0001697541
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37704
FILM NUMBER: 171153141
MAIL ADDRESS:
STREET 1: C/O DARIOHEALTH CORP.
CITY: CAESAREA
STATE: L3
ZIP: 3088900
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DarioHealth Corp.
CENTRAL INDEX KEY: 0001533998
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 452973162
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: HALAMISH 9
CITY: CAESAREA INDUSTRIAL PARK
STATE: L3
ZIP: 38900
BUSINESS PHONE: (972)-(3)-6222929
MAIL ADDRESS:
STREET 1: HALAMISH 9
CITY: CAESAREA INDUSTRIAL PARK
STATE: L3
ZIP: 38900
FORMER COMPANY:
FORMER CONFORMED NAME: LabStyle Innovations Corp.
DATE OF NAME CHANGE: 20111101
4
1
tv477604_4.xml
OWNERSHIP DOCUMENT
X0306
4
2017-10-23
0
0001533998
DarioHealth Corp.
DRIO
0001697541
Bahagon Yossi
9 HALAMISH STREET
CAESAREA INDUSTRIAL PARK
L3
3088900
ISRAEL
1
0
1
0
Common Stock
2017-10-23
4
A
0
3367
0
A
6639
D
Common Stock
892858
I
See Footnote
The reporting person was awarded such securities in exchange for waiving director fees owed for the third quarter of 2017 in the amount of $6,250.
The amounts shown represent the beneficial ownership or the issuer's securities by OurCrowd Digital Health L.P., which may be deemed attributable to Mr. Bahagon because Mr. Bahagon is a Managing Partner of OurCrowd Digital Health L.P. Mr. Bahagon disclaims beneficial ownership of the securities set forth herein except to the extent of their pecuniary interest therein.
/s/ Yossi Bahagon
2017-10-25