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