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