0001235802-16-000264.txt : 20160701 0001235802-16-000264.hdr.sgml : 20160701 20160701163959 ACCESSION NUMBER: 0001235802-16-000264 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160629 FILED AS OF DATE: 20160701 DATE AS OF CHANGE: 20160701 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: Hammers Darin CENTRAL INDEX KEY: 0001570134 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20970 FILM NUMBER: 161747410 MAIL ADDRESS: STREET 1: 5420 FELTL RD CITY: MINNETONKA STATE: MN ZIP: 55343 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2016-06-29 0 0000894237 COGENTIX MEDICAL INC /DE/ CGNT 0001570134 Hammers Darin 5420 FELTL RD MINNETONKA MN 55343 0 1 0 0 Interim CEO and President Common Stock 2016-06-29 4 A 0 100000 0 A 232741 D Stock Option (right to buy) 1.03 2016-06-29 4 A 0 100000 0 A 2023-06-28 Common Stock 100000 100000 D These shares will be issued over time upon vesting pursuant to a restricted stock grant. Includes 175,716 shares that will be issued over time upon vesting pursuant to restrictive stock grants. This option vests with respect to 33,333 shares on each of June 29, 2017 and June 29, 2018 and with respect to 33,334 shares on June 29, 2019. /s/ Darin Hammers 2016-07-01