SEC Form 4 · accession 0001415889-16-004334
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
Jan 6, 2016
Accepted (ET)
Jan 8, 2016 · 1:19 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001591165
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options to Purchase Common StockF1 | $0.95 | Jan 6, 2016 | A | 34,650 | A | — | Jan 6, 2026 | Common Stock | 34,650 | 69,650 | D |
Explanation of responses
- F1The options shall vest and become exercisable in four (4) installments as follows: the first installment to purchase 25% of the common stock underlying the options, or the right to purchase 8,663 shares, vested on January 6, 2016 and the balance of the options, or the right to purchase 25,987 shares shall vest in three equal installments on January 6, 2017, January 6, 2018 and January 6, 2019.