0001493152-24-025687.txt : 20240628 0001493152-24-025687.hdr.sgml : 20240628 20240628205347 ACCESSION NUMBER: 0001493152-24-025687 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240620 FILED AS OF DATE: 20240628 DATE AS OF CHANGE: 20240628 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Green Ralph Elias CENTRAL INDEX KEY: 0001835785 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39796 FILM NUMBER: 241087556 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] ORGANIZATION NAME: 08 Industrial Applications and Services 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 X0508 4 2024-06-20 0 0001716166 Vivos Therapeutics, Inc. VVOS 0001835785 Green Ralph Elias 7921 SOUTHPARK PLAZA, SUITE 210 LITTLETON CO 80120 1 0 0 0 0 Stock Option (Right to Buy) 2.38 2024-06-20 4 A 0 4000 2.38 A 2029-06-20 Common Stock 4000 7067 D On June 20, 2024, the Reporting Person received a grant of 4,000 stock options from the Issuer. One-half vested immediately, one-fourth will vest on September 30, 2024 and one-fourth will vest on December 31, 2024. /s/ Bradford K. Amman as attorney-in-fact for Ralph Elias Green 2024-06-28