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