0001144204-17-054090.txt : 20171025
0001144204-17-054090.hdr.sgml : 20171025
20171025160523
ACCESSION NUMBER: 0001144204-17-054090
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171023
FILED AS OF DATE: 20171025
DATE AS OF CHANGE: 20171025
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: 171153131
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: 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
4
1
tv477602_4.xml
OWNERSHIP DOCUMENT
X0306
4
2017-10-23
0
0001533998
DarioHealth Corp.
DRIO
0001063028
STONE RICHARD B
9 HALAMISH STREET
CAESAREA INDUSTRIAL PARK
L3
3088900
ISRAEL
1
0
0
0
Common Stock
2017-10-23
4
A
0
5521
0
A
47104
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 of 2017 in the amount of $10,250.
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
2017-10-25