0001415889-17-000937.txt : 20170607 0001415889-17-000937.hdr.sgml : 20170607 20170607100014 ACCESSION NUMBER: 0001415889-17-000937 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170606 FILED AS OF DATE: 20170607 DATE AS OF CHANGE: 20170607 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: 17896160 MAIL ADDRESS: STREET 1: 3279 HERDEE AVE CITY: ATLANTA STATE: GA ZIP: 30341 4 1 form4-06072017_100601.xml X0306 4 2017-06-06 0001591165 Medovex Corp. MDVX 0001629409 Gorlin Jarrett S 1950 AIRPORT ROAD, SUITE A ATLANTA GA 30341 true true false false CHIEF EXECUTIVE OFFICER Common Stock 2017-06-06 4 P 0 5000 .89 A 622172 D Common Stock 2017-06-06 4 P 0 5000 .90 A 627172 D Common Stock 2017-06-06 4 P 0 5000 .91 A 632172 D Common Stock 2017-06-06 4 P 0 5000 .92 A 637172 D Common Stock 2017-06-06 4 P 0 5000 .94 A 642172 D The shares purchased trade publicly under the symbol "MDVX" on the NASDAQ Stock Market. Includes 506,837 shares held by The Jarrett S. & Rebecca L. Gorlin Family Limited Partnership. Mr. Gorlin disclaims beneficial ownership of these shares. Includes 9,615 shares held by JARRETT GORLIN C/F LOGAN GORLIN UTMA/GA. The Reporting Person claims beneficial ownership of these shares. Includes 9,615 shares held by JARRETT GORLIN C/F TAYLOR GORLIN UTMA/GA. The Reporting Person claims beneficial ownership of these shares. /s/ Jarrett Gorlin 2017-06-07