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