0001415889-15-003887.txt : 20151125
0001415889-15-003887.hdr.sgml : 20151125
20151125143315
ACCESSION NUMBER: 0001415889-15-003887
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151123
FILED AS OF DATE: 20151125
DATE AS OF CHANGE: 20151125
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Medovex Corp.
CENTRAL INDEX KEY: 0001591165
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 000000000
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3729 HARDEE AVENUE
CITY: ATLANTA
STATE: GA
ZIP: 30341
BUSINESS PHONE: (404) 393-6989
MAIL ADDRESS:
STREET 1: 3729 HARDEE AVENUE
CITY: ATLANTA
STATE: GA
ZIP: 30341
FORMER COMPANY:
FORMER CONFORMED NAME: SpineZ
DATE OF NAME CHANGE: 20131105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Haufe Scott
CENTRAL INDEX KEY: 0001629389
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36763
FILM NUMBER: 151255762
MAIL ADDRESS:
STREET 1: 302 OLDE POST ROAD
CITY: NICEVILLE
STATE: FL
ZIP: 32578
4
1
form4-11252015_111107.xml
X0306
4
2015-11-23
0001591165
Medovex Corp.
MDVX
0001629389
Haufe Scott
3279 HARDEE AVENUE
ATLANTA
GA
30341
true
false
false
false
Common Stock
2015-11-23
4
P
0
5000
1.35
A
805108
D
Represents 272,773 shares of the Issuer's common stock held directly by Mr. Haufe and 532,335 shares held by Morgan Stanley Smith Barney custodian for Nicole Haufe Roth IRA. Mr. Haufe disclaims beneficial ownership of the 209,275 shares held by Nicole Haufe.
/s/ Scott M. Haufe
2015-11-25