0001104659-21-006298.txt : 20210121 0001104659-21-006298.hdr.sgml : 20210121 20210121160856 ACCESSION NUMBER: 0001104659-21-006298 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210119 FILED AS OF DATE: 20210121 DATE AS OF CHANGE: 20210121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STONE RICHARD B CENTRAL INDEX KEY: 0001063028 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37704 FILM NUMBER: 21542076 MAIL ADDRESS: STREET 1: SUNRISE SECURITIES STREET 2: 641 LEXINGTON AVE 25TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DarioHealth Corp. CENTRAL INDEX KEY: 0001533998 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 452973162 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8 HATOKHEN ST. CITY: CAESAREA STATE: L3 ZIP: 38900 BUSINESS PHONE: (972)-(3)-6222929 MAIL ADDRESS: STREET 1: 8 HATOKHEN ST. CITY: CAESAREA STATE: L3 ZIP: 38900 FORMER COMPANY: FORMER CONFORMED NAME: LabStyle Innovations Corp. DATE OF NAME CHANGE: 20111101 4 1 tm213677-8_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-01-19 0 0001533998 DarioHealth Corp. DRIO 0001063028 STONE RICHARD B 8 HATOKHEN STREET CAESAREA INDUSTRIAL PARK L3 3088900 ISRAEL 1 0 0 0 Restricted Stock Grant 2021-01-19 4 A 0 20000 0 A 50699 D Common Stock 4166 I By Stone IsraVentures, LLC Common Stock 1852 I By AdHoc Investors LLC The shares vest over three years as follows: 8.333% shall vest on March 31, 2021, and the remaining shares vest in 11 equal instalments every 3 months thereafter. The reporting person owns 25% of the securities of Frostop Securities LLC, which holds 15% of the securities of Stone IsraVentures, LLC. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. The reporting person owns 25% of the securities of Frostop Securities LLC, which holds 20% of the securities of AdHoc Investors LLC. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. /s/ Richard B. Stone 2021-01-21