SEC Form 4 · accession 0001415889-17-000649
Medovex Corp. · MDVX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Scott Haufe
Director
Period of report
Apr 18, 2017
Accepted (ET)
Apr 18, 2017 · 8:58 pm 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,F2,F3,F4,F5 | Apr 18, 2017 | P | 50,000 | $1.25 | A | 1,088,961 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares purchased trade publicly under the symbol "MDVX" on the NASDAQ Stock Market.
- F2Includes 275,612 shares of common stock held by Haufe Family Limited Partnership. The Reporting Person disclaims beneficial ownership of these shares.
- F3Includes 532,335 shares held by Morgan Stanley Smith Barney custodian for Nicole Haufe Roth IRA. The Reporting Person disclaims beneficial ownership of these shares.
- F4Includes 209,275 shares held directly by the Reporting Person's spouse. The Reporting Person disclaims beneficial ownership of these shares.
- F5Includes 21,739 shares granted to the Reporting Person on January 17, 2017 in lieu of cash fees that were due to the Reporting Person for his board services during fiscal years 2015 and 2016.