0001012975-16-001450.txt : 20160819
0001012975-16-001450.hdr.sgml : 20160819
20160819162332
ACCESSION NUMBER: 0001012975-16-001450
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20150731
FILED AS OF DATE: 20160819
DATE AS OF CHANGE: 20160819
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: COGENTIX MEDICAL INC /DE/
CENTRAL INDEX KEY: 0000894237
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 133430173
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5420 FELTL ROAD
CITY: MINNETONKA
STATE: MN
ZIP: 55343
BUSINESS PHONE: 952-426-6140
MAIL ADDRESS:
STREET 1: 5420 FELTL ROAD
CITY: MINNETONKA
STATE: MN
ZIP: 55343
FORMER COMPANY:
FORMER CONFORMED NAME: VISION SCIENCES INC /DE/
DATE OF NAME CHANGE: 19960404
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Zauberman Howard I.
CENTRAL INDEX KEY: 0001576816
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20970
FILM NUMBER: 161843416
MAIL ADDRESS:
STREET 1: 40 RAMLAND ROAD SOUTH
CITY: ORANGEBURG
STATE: NY
ZIP: 10692
4/A
1
edgar.xml
PRIMARY DOCUMENT
X0306
4/A
2015-07-31
2015-08-03
0000894237
COGENTIX MEDICAL INC /DE/
CGNT
0001576816
Zauberman Howard I.
5420 FELTL ROAD
MINNETONKA
MN
55343
1
0
0
0
Common Stock
172300
D
Exhibit 24 - Power of Attorney
/s/ Brett Reynolds, attorney-in-fact
2016-08-19
EX-24
2
zaubermanpoa.txt
POWER OF ATTORNEY
POWER OF ATTORNEY
The undersigned hereby constitutes and appoints Robert C. Kill and Brett
A. Reynolds, and each of them signing singly, and with full power of
substitution, to be the undersigned's true and lawful attorney-in-fact to:
(1) Prepare, execute in the undersigned's name and on the undersigned's
behalf, and submit to the U.S. Securities and Exchange Commission (the "SEC")
a Form ID, including amendments thereto, and any other documents necessary or
appropriate to obtain codes and passwords enabling the undersigned to make
electronic filings with the SEC of reports required by Section 16(a) of the
Securities Exchange Act of 1934, as amended, Rule 144 under the Securities Act
of 1933, as amended, or any rule or regulation of the SEC; and
(2) Execute for and on behalf of the undersigned, in the undersigned's
capacity as an officer and/or director of Cogentix Medical, Inc., any Form 144
in accordance with Rule 144 under the Securities Act of 1933, as amended, and
any Form 3, Form 4 or Form 5 in accordance with Section 16(a) of the
Securities Exchange Act of 1934, as amended, and the rules and regulations
adopted thereunder; and
(3) Do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 144, Form
3, Form 4 or Form 5, complete and execute any amendment or amendments thereto,
and timely file such form with the SEC and any stock exchange or similar
authority; and
(4) Take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit
to, in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of
the undersigned pursuant to this Power of Attorney shall be in such form and
shall contain such terms and conditions as such attorney-in-fact may approve
in such attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary or proper to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents and purposes as the
undersigned might or could do if personally present, with full power of
substitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall
lawfully do or cause to be done by virtue of this Power of Attorney and the
rights and powers herein granted. The undersigned acknowledges that the
foregoing attorneys-in-fact, in serving in such capacity at the request of the
undersigned, are not assuming, nor is Cogentix Medical, Inc. assuming, any of
the undersigned s responsibilities to comply with Section 16 of the Securities
Exchange Act of 1934, as amended, or Form 144 of the Securities Act of 1933,
as amended.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Form 144s, Form 3s, Form 4s or Form
5s with respect to the undersigned's holdings of and transactions in
securities issued by Cogentix Medical, Inc., unless earlier revoked by the
undersigned in a signed writing delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney
to be executed as of this 31st day of March, 2015.
/s/ Howard I. Zauberman
----------------------------
Howard I. Zauberman