0001415889-17-000346.txt : 20170227
0001415889-17-000346.hdr.sgml : 20170227
20170227200013
ACCESSION NUMBER: 0001415889-17-000346
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170203
FILED AS OF DATE: 20170227
DATE AS OF CHANGE: 20170227
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: 17644271
MAIL ADDRESS:
STREET 1: 3279 HERDEE AVE
CITY: ATLANTA
STATE: GA
ZIP: 30341
4
1
form4-02272017_050204.xml
X0306
4
2017-02-03
0001591165
Medovex Corp.
MDVX
0001629409
Gorlin Jarrett S
1950 AIRPORT ROAD, SUITE A
ATLANTA
GA
30341
true
true
false
false
CHIEF EXECUTIVE OFFICER
Options to Purchase Common Stock
1.13
2017-02-03
4
A
0
48142
0
A
2017-02-03
2027-02-03
Common Stock
48142
48142
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 vested on February 3, 2017. The balance of the options, or 75%, shall vest in three equal installments at a rate of 25% on February 3, 2018, February 3, 2019 and February 3, 2020.
/s/ Jarrett Gorlin
2017-02-27