0001012975-16-001460.txt : 20160819 0001012975-16-001460.hdr.sgml : 20160819 20160819163049 ACCESSION NUMBER: 0001012975-16-001460 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160817 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: SAMET KENNETH A CENTRAL INDEX KEY: 0001359252 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20970 FILM NUMBER: 161843484 MAIL ADDRESS: STREET 1: 800 KING FARM BOULEVARD STREET 2: 4TH FLOOR CITY: ROCKVILLE STATE: MD ZIP: 20850 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2016-08-17 0000894237 COGENTIX MEDICAL INC /DE/ CGNT 0001359252 SAMET KENNETH A 5420 FELTL ROAD MINNETONKA MN 55343 1 0 0 0 Common Stock 2016-08-17 4 A 0 100000 0 A 100000 D Restricted shares, each of which will vest on February 17, 2017. /s/ Brett Reynolds, attorney-in-fact 2016-08-19