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