0001144204-17-002210.txt : 20170113 0001144204-17-002210.hdr.sgml : 20170113 20170113163932 ACCESSION NUMBER: 0001144204-17-002210 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170112 FILED AS OF DATE: 20170113 DATE AS OF CHANGE: 20170113 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: HALAMISH 9 CITY: CAESAREA INDUSTRIAL PARK STATE: L3 ZIP: 38900 BUSINESS PHONE: (972)-(3)-6222929 MAIL ADDRESS: STREET 1: HALAMISH 9 CITY: CAESAREA INDUSTRIAL PARK STATE: L3 ZIP: 38900 FORMER COMPANY: FORMER CONFORMED NAME: LabStyle Innovations Corp. DATE OF NAME CHANGE: 20111101 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: 17528282 MAIL ADDRESS: STREET 1: SUNRISE SECURITIES STREET 2: 641 LEXINGTON AVE 25TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 4 1 v456899_4.xml OWNERSHIP DOCUMENT X0306 4 2017-01-12 0 0001533998 DarioHealth Corp. DRIO 0001063028 STONE RICHARD B 9 HALAMISH STREET CAESAREA INDUSTRIAL PARK L3 3088900 ISRAEL 1 0 0 0 Common Stock 2017-01-12 4 A 0 6388 0 A 34350 D Common Stock 83296 I By Stone IsraVentures, LLC Common Stock 37038 I By AdHoc Investors LLC The reporting person was awarded such securities in exchange for waiving director fees owed for the third quarter and fourth quarter of 2016 in the amount of $20,500. 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 2017-01-13