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