0001493152-21-003917.txt : 20210216 0001493152-21-003917.hdr.sgml : 20210216 20210216143238 ACCESSION NUMBER: 0001493152-21-003917 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20210216 DATE AS OF CHANGE: 20210216 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Vivos Therapeutics, Inc. CENTRAL INDEX KEY: 0001716166 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 813224056 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-92230 FILM NUMBER: 21636371 BUSINESS ADDRESS: STREET 1: 9137 RIDGELINE BOULEVARD STREET 2: SUITE 135 CITY: HIGHLANDS RANCH STATE: CO ZIP: 80129 BUSINESS PHONE: (866)908-4867 MAIL ADDRESS: STREET 1: 9137 RIDGELINE BOULEVARD STREET 2: SUITE 135 CITY: HIGHLANDS RANCH STATE: CO ZIP: 80129 FORMER COMPANY: FORMER CONFORMED NAME: Vivos BioTechnologies, Inc. DATE OF NAME CHANGE: 20170901 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Huntsman Ronald Kirk CENTRAL INDEX KEY: 0001835498 FILING VALUES: FORM TYPE: SC 13G MAIL ADDRESS: STREET 1: 9137 RIDGELINE BOULEVARD, SUITE 135 CITY: HIGHLANDS RANCH STATE: CO ZIP: 80129 SC 13G 1 formsc13g.htm

 

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

SCHEDULE 13G

 

UNDER THE SECURITIES EXCHANGE ACT OF 1934

 

VIVOS THERAPEUTICS, INC.

(Name of Issuer)

 

Common stock, par value $0.0001 per share

(Title of Class of Securities)

 

92859E108

(CUSIP Number)

 

December 31, 2020

(Date of Event Which Requires Filing of this Statement)

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

 

  [  ] Rule 13d-1(b)
  [  ] Rule 13d-1(c)
  [X] Rule 13d-1(d)

 

* The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.

 

The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

 

 

 
 

 

CUSIP 92859E108

 

1.  

Name of Reporting Persons

 

Coronado V Partners, LLC

2.  

Check the Appropriate Box if a Member of a Group (See Instructions)

 

(a) [  ]             (b) [  ]

3.  

SEC Use Only

 

4.  

Citizenship or Place of Organization

 

Wyoming

Number of

Shares

Beneficially

Owned By

Each

Reporting

Person

With:

  5.  

Sole Voting Power

 

1,749,000 (1)

  6.  

Shared Voting Power

 

0

  7.  

Sole Dispositive Power

 

1,749,000 (1)

  8.  

Shared Dispositive Power

 

0

 9.  

Aggregate Amount Beneficially Owned by Each Reporting Person

 

1,749,000 (1)

10.  

Check if the Aggregate Amount in Row (9) Excludes Certain Shares

 

11.  

Percent of Class Represented by Amount in Row (9)

 

9.6%(1)

12.  

Type of Reporting Person (See Instructions)

 

OO

 

(1) See Item 4.

 

 
 

 

CUSIP 92859E108

 

1.  

Names of Reporting Persons

 

R. Kirk Huntsman

2.  

Check the Appropriate Box if a Member of a Group (See Instructions)

 

(a) [  ]             (b) [  ]

3.  

SEC Use Only

 

4.  

Citizenship or Place of Organization

 

United States

Number of

Shares

Beneficially

Owned By

Each

Reporting

Person

With:

  5.  

Sole Voting Power

 

2,083,834 (1)

  6.  

Shared Voting Power

 

0

  7.  

Sole Dispositive Power

 

2,083,834 (1)

  8.  

Shared Dispositive Power

 

0

9.  

Aggregate Amount Beneficially Owned by Each Reporting Person

 

2,083,834 (1)

10.  

Check if the Aggregate Amount in Row (9) Excludes Certain Shares

 

11.  

Percent of Class Represented by Amount in Row (9)

 

11.5%(1)

12.  

Type of Reporting Person (See Instructions)

 

IN

 

(1) See Item 4.

 

 
 

 

Item 1(a). Name of Issuer

 

Vivos Therapeutics, Inc. (the “Issuer”)

 

Item 1(b). Address of the Issuer’s Principal Executive Offices

 

9137 Ridgeline Boulevard, Suite 135

Highlands Ranch, Colorado 80129

 

Item 2(a). Names of Persons Filing

 

Coronado V Partners, LLC and R. Kirk Huntsman (collectively, the “Reporting Persons”)

 

Item 2(b). Address of the Principal Business Office, or if none, Residence:

 

9137 Ridgeline Boulevard, Suite 135

Highlands Ranch, Colorado 80129

 

Item 2(c). Citizenship

 

Coronado V Partners, LLC is a Wyoming limited liability company. R. Kirk Huntsman is a citizen of the United States of America.

 

Item 2(d). Title of Class of Securities

 

Common stock, $0.0001 par value per share.

 

Item 2(e). CUSIP Number

 

92859E108

 

Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a:

 

  [  ] (a) Broker or Dealer registered under Section 15 of the Exchange Act.
     
  [  ] (b) Bank as defined in Section 3(a)(b) or the Exchange Act.
     
  [  ] (c) Insurance company as defined in Section 3(a)(19) of the Exchange Act.
     
  [  ] (d) Investment company registered under Section 8 of the Investment Company Act.
     
  [  ] (e) An Investment adviser in accordance with Rule 13d-1 (b)(1)(ii)(e).
     
  [  ] (f) An employee benefit plan or endowment fund in accordance with Rule 13d 1(b)(1)(ii)(f).
     
  [  ] (g) A Parent Holding Company or control person in accordance with Rule 13d 1(b)(1)(ii)(g).
     
  [  ] (h) A Savings Association as defined in Section 3(b) of the Federal Deposit Insurance Act.
     
  [  ] (i) A Church Plan that is excluded from the definition of an investment company under Section 3 (c)(14) of the Investment Company Act.
     
  [  ] (j) Group, in accordance with Rule 13d-1 (b)(1)(ii)(j).
     
    Not applicable

 

 
 

 

Item 4. Ownership

 

The responses to Items 5-10 of the cover pages of this Schedule 13G are incorporated herein by reference.

 

As of December 31, 2020, Coronado V Partners, LLC and R. Kirk Huntsman may be deemed to beneficially own 1,749,000 shares and 2,083,834 shares, respectively, of the Issuer’s common stock, representing 9.6% and 11.5%, respectively, of the total shares of common stock issued and outstanding.

 

The percentages of the shares of common stock held by the Reporting Persons are based on 18,191,675 shares of common stock issued and outstanding as of December 14, 2020 as reported in the Issuer’s prospectus (File No. 333-249412) filed with the Securities and Exchange Commission on December 14, 2020.

 

Coronado V Partners, LLC is the record holder of 1,749,000 shares of common stock. R. Kirk Huntsman is the record holder of 334,834 shares of common stock. R. Kirk Huntsman is the president of Coronado V Partners, LLC and has voting and investment discretion with respect to the common stock held of record by Coronado V Partners, LLC. As such, Mr. Huntsman may be deemed to have beneficial ownership of the securities held of record by Coronado V Partners, LLC. The 334,834 shares held of record by Mr. Huntsman include 333,334 shares which may be purchased by exercising an option to purchase such shares, which option is presently exercisable.

 

Item 5. Ownership of Five Percent or Less of a Class

 

Not Applicable

 

Item 6. Ownership of More than Five Percent on Behalf of Another Person

 

Not Applicable

 

Item 7.

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person

 

Not Applicable

 

Item 8. Identification and Classification of Members of the Group

 

Not Applicable

 

Item 9. Notice of Dissolution of Group

 

Not Applicable

 

Item 10. Certification

 

Not Applicable

 

 
 

 

SIGNATURE

 

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

 

Date: February 16, 2021

 

  Coronado V Partners, LLC
     
  By: /s/ R. Kirk Huntsman
  Name: R. Kirk Huntsman
  Title: President

 

  /s/ R. Kirk Huntsman
  R. Kirk Huntsman

 

 

 

EX-1 2 ex-1.htm

 

EXHIBIT 1

 

JOINT FILING AGREEMENT

 

In accordance with Rule 13d-1(k) under the Securities Exchange Act of 1934, as amended, the undersigned agree to the joint filing on behalf of each of them of a Statement on Schedule 13G (including any and all amendments thereto) with respect to the shares of common stock, $0.0001 par value per share, of Vivos Therapeutics, Inc., and further agree that this Joint Filing Agreement shall be included as an exhibit to such joint filings.

 

The undersigned further agree that each party hereto is responsible for the timely filing of such Statement on Schedule 13G and any amendments thereto, and for the accuracy and completeness of the information concerning such party contained therein; provided, however, that no party is responsible for the accuracy or completeness of the information concerning any other party, unless such party knows or has reason to believe that such information is inaccurate.

 

This Joint Filing Agreement may be signed in counterparts with the same effect as if the signature on each counterpart were upon the same instrument.

 

IN WITNESS WHEREOF, the undersigned have executed this Agreement as of February 16, 2021.

 

  Coronado V Partners, LLC
     
  By: /s/ R. Kirk Huntsman
  Name: R. Kirk Huntsman
  Title: President

 

  /s/ R. Kirk Huntsman
  R. Kirk Huntsman