SEC Form 4 · accession 0001140361-16-048345
VIVOS INC · RDGL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James C Katzaroff
Officer — CHIEF EXECUTIVE OFFICER · Director
Period of report
Jan 21, 2016
Accepted (ET)
Jan 21, 2016 · 4:18 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001449349
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Convertible Preferred StockF1 | $0.005 | Jan 21, 2016 | A | 10,000 | A | Jan 21, 2016 | — | Common Stock | 10,000,000 | — | D |
Explanation of responses
- F1The Series A Convertible Preferred Stock has no expiration date.