0001493152-22-036727.txt : 20221228 0001493152-22-036727.hdr.sgml : 20221228 20221228214536 ACCESSION NUMBER: 0001493152-22-036727 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221223 FILED AS OF DATE: 20221228 DATE AS OF CHANGE: 20221228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Huntsman Ronald Kirk CENTRAL INDEX KEY: 0001835498 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39796 FILM NUMBER: 221496229 MAIL ADDRESS: STREET 1: 9137 RIDGELINE BOULEVARD, SUITE 135 CITY: HIGHLANDS RANCH STATE: CO ZIP: 80129 ISSUER: 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 BUSINESS ADDRESS: STREET 1: 7921 SOUTHPARK PLAZA, STREET 2: SUITE 210 CITY: LITTLETON STATE: CO ZIP: 80120 BUSINESS PHONE: (866)908-4867 MAIL ADDRESS: STREET 1: 7921 SOUTHPARK PLAZA, STREET 2: SUITE 210 CITY: LITTLETON STATE: CO ZIP: 80120 FORMER COMPANY: FORMER CONFORMED NAME: Vivos BioTechnologies, Inc. DATE OF NAME CHANGE: 20170901 4 1 ownership.xml X0306 4 2022-12-23 0 0001716166 Vivos Therapeutics, Inc. VVOS 0001835498 Huntsman Ronald Kirk 7921 SOUTHPARK PLAZA, SUITE 210 LITTLETON CO 80120 1 1 1 0 Chief Executive Officer Common Stock 2022-12-23 4 P 0 20000 0.50 A 47500 D Common Stock 1740000 I See footnote Stock Option (Right to Buy) 0.48 2022-12-23 4 A 0 333334 0.48 A 2027-12-23 Common Stock 333334 333334 D Stock Option (Right to Buy) 0.48 2022-12-23 4 A 0 150000 0.48 A 2027-12-23 Common Stock 483334 483334 D Shares held by Coronado V Partners, LLC, of which the reporting person is a member and manager. 333,334 fully vested stock options granted on December 23, 2022. 150,000 stock options granted on December 23, 2022. One-fifth vested immediately and one-fifth vests annually on each anniversary date through December 23, 2026. /s/ Brad Amman as attorney-in-fact for R. Kirk Huntsman 2022-12-28