0001437749-18-005160.txt : 20180321 0001437749-18-005160.hdr.sgml : 20180321 20180321155444 ACCESSION NUMBER: 0001437749-18-005160 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180320 FILED AS OF DATE: 20180321 DATE AS OF CHANGE: 20180321 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zauberman Howard I. CENTRAL INDEX KEY: 0001576816 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20970 FILM NUMBER: 18704419 MAIL ADDRESS: STREET 1: 40 RAMLAND ROAD SOUTH CITY: ORANGEBURG STATE: NY ZIP: 10692 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 4 1 rdgdoc.xml FORM 4 X0306 4 2018-03-20 0000894237 COGENTIX MEDICAL INC /DE/ CGNT 0001576816 Zauberman Howard I. 5420 FELTL ROAD MINNETONKA MN 55343 1 Common Stock 2018-03-20 4 M 0 20000 2.70 A 351472 D Stock Option (Right to Buy) 2.70 2018-03-20 4 M 0 20000 0 D 2015-02-02 2018-03-30 Common Stock 20000 0 D Total holdings include restricted stock awards. /s/ Brett Reynolds, Attorney in Fact for Howard Zauberman 2018-03-21