SEC Form 4 · accession 0001144204-17-002210
DarioHealth Corp. · DRIO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard B Stone
Director
Period of report
Jan 12, 2017
Accepted (ET)
Jan 13, 2017 · 4:39 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001533998
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 12, 2017 | A | 6,388 | $0.00 | A | 34,350 | D | |
| Common StockF2 | holding | — | — | — | 83,296 | I | By Stone IsraVentures, LLC | |
| Common StockF3 | holding | — | — | — | 37,038 | I | By AdHoc Investors LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The reporting person was awarded such securities in exchange for waiving director fees owed for the third quarter and fourth quarter of 2016 in the amount of $20,500.
- F2The reporting person owns 25% of the securities of Frostop Securities LLC, which holds 15% of the securities of Stone IsraVentures, LLC. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
- F3The reporting person owns 25% of the securities of Frostop Securities LLC, which holds 20% of the securities of AdHoc Investors LLC. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.