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