SEC Form 4 · accession 0001415889-15-002176
Medovex Corp. · MDVX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Scott Haufe
Director
Period of report
Jun 22, 2015
Accepted (ET)
Jun 24, 2015 · 11:06 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001591165
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jun 22, 2015 | A | 25,000 | $3.25 | A | 800,108 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents 265,273 shares of the Issuer's common stock held directly by Mr. Haufe, options to purchase 2,500 shares of the Issuer's common stock that are exercisable within sixty (60) days, and 532,335 shares held by Morgan Stanley Smith Barney custodian for Nicole Haufe Roth IRA and 209,275 shares held by Nicole Haufe. Mr. Haufe disclaims beneficial ownership of the shares.