SEC Form 4 · accession 0001076542-17-000012
NEXEON MEDSYSTEMS INC · NXNN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
ROSELLINI SCIENTIFIC LLC
10% Owner
Period of report
Sep 15, 2016
Accepted (ET)
Jan 9, 2017 · 12:49 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001416172
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 15, 2016 | J | 158,500 | $1.00 | D | 12,582,807 | D | |
| Common StockF2 | Sep 15, 2016 | J | 39,000 | $0.50 | D | 12,543,807 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Rosellini Scientific transferred 158,500 shares of the Company's common stock upon conversion of a $150,000 loan pursuant to a Debt Conversion Agreement dated September 15, 2016.
- F2Rosellini Scientific transferred 39,000 shares of the Company's common stock upon conversion of a $19,470 debt pursuant to a Conversion Agreement dated September 15, 2016.