SEC Form 4 · accession 0001415889-15-004084
Medovex Corp. · MDVX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patrick C Kullmann
Officer — COO, PRESIDENT
Period of report
Dec 15, 2015
Accepted (ET)
Dec 16, 2015 · 3:55 pm EST
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 | Dec 15, 2015 | P | 4,500 | $1.09 | A | 247,019 | I | See footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents 110,731 shares of the Issuer's common stock held directly by Mr. Kullman, options to purchase 35,000 shares of the Issuer's common stock that are excisable within sixty (60) days, and 96,788 shares held by Pamela M.C. Kullmann, Mr. Kullman's wife. Mr. Kullmann disclaims beneficial ownership of Pamela M.C. Kullmann's shares.