SEC Form 4 · accession 0001076542-17-000076
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
Jun 23, 2017
Accepted (ET)
Sep 27, 2017 · 1:11 pm EDT
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 | Jun 23, 2017 | J | 81,035 | — | A | 12,624,842 | D | |
| Common StockF1 | Jun 23, 2017 | J | 81,035 | — | D | 12,543,807 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On June 23, 2017, pursuant to a loan agreement to pay outstanding debts, RS received 81,035 shares of Common Stock of the Company from a shareholder of the Company, valued at $1.00 per share. On June 23, 2017, RS issued such shares as follows: Converted (i) $50,000 of debt for services provided to RS into 50,000 shares of the Company's common stock, and (ii) $51,118 of debt for services provided to RS into 31,035 shares of the Company's common stock. Subsequent to such transactions, the total number of shares of the Company's common stock owned by RS as of June 23, 2017 was 12,543,807.