0001493152-23-021910.txt : 20230621 0001493152-23-021910.hdr.sgml : 20230620 20230620215839 ACCESSION NUMBER: 0001493152-23-021910 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230620 FILED AS OF DATE: 20230620 DATE AS OF CHANGE: 20230620 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: 231027310 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 X0407 4 2023-06-20 0 0001716166 Vivos Therapeutics, Inc. VVOS 0001835498 Huntsman Ronald Kirk 7921 SOUTHPARK PLAZA, SUITE 210 LITTLETON CO 80120 1 1 0 0 Chief Executive Officer 0 Common Stock 2023-06-20 4 P 0 14000 0.53 A 86521 D Common Stock 1740000 I See footnote Shares held by Coronado V Partners, LLC, of which the reporting person is a member and manager. /s/ Brad Amman as attorney-in-fact for R. Kirk Huntsman 2023-06-20