0001415889-16-004340.txt : 20160108
0001415889-16-004340.hdr.sgml : 20160108
20160108132444
ACCESSION NUMBER: 0001415889-16-004340
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160106
FILED AS OF DATE: 20160108
DATE AS OF CHANGE: 20160108
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: Gorlin Jarrett S
CENTRAL INDEX KEY: 0001629409
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36763
FILM NUMBER: 161332468
MAIL ADDRESS:
STREET 1: 3279 HERDEE AVE
CITY: ATLANTA
STATE: GA
ZIP: 30341
4
1
form4-01082016_100137.xml
X0306
4
2016-01-06
0001591165
Medovex Corp.
MDVX
0001629409
Gorlin Jarrett S
3279 HARDEE AVENUE
ATLANTA
GA
30341
true
true
false
false
CHIEF EXECUTIVE OFFICER
Options to Purchase Common Stock
0.95
2016-01-06
4
A
0
40800
0
A
2026-01-06
Common Stock
40800
40800
D
The options shall vest and become exercisable in four (4) installments as follows: the first installment to purchase 25% of the common stock underlying the options, or the right to purchase 10,200 shares, vested on January 6, 2016 and the balance of the options, or the right to purchase 30,600 shares shall vest in three equal installments on January 6, 2017, January 6, 2018 and January 6, 2019.
/s/ Jarrett Gorlin
2016-01-08