SEC Form 4 · accession 0001415889-16-004844
Medovex Corp. · MDVX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steve Gorlin
Director
Period of report
Feb 16, 2016
Accepted (ET)
Feb 18, 2016 · 5:13 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,F2 | Feb 16, 2016 | P | 552,041 | $1.8114 | A | 961,503 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The 552,041 shares are issued against the conversion of a $1,000,000 promissory note.
- F2Includes 125,000 shares held by Mr. Gorlin's spouse, Deborah Gorlin. Mr. Gorlin disclaims beneficial ownership of Deborah Gorlin's shares.