0001493152-20-018955.txt : 20201005
0001493152-20-018955.hdr.sgml : 20201005
20201005194438
ACCESSION NUMBER: 0001493152-20-018955
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201001
FILED AS OF DATE: 20201005
DATE AS OF CHANGE: 20201005
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MIKA THOMAS
CENTRAL INDEX KEY: 0001263576
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36445
FILM NUMBER: 201225120
MAIL ADDRESS:
STREET 1: TEGAL CORP
STREET 2: 2201 SOUTH MCDOWELL BLVD
CITY: PETALUMA
STATE: CA
ZIP: 94954
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NanoVibronix, Inc.
CENTRAL INDEX KEY: 0001326706
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 525 EXECUTIVE BLVD
CITY: ELMSFORD
STATE: NY
ZIP: 10523
BUSINESS PHONE: (914) 233-3004
MAIL ADDRESS:
STREET 1: 525 EXECUTIVE BLVD
CITY: ELMSFORD
STATE: NY
ZIP: 10523
FORMER COMPANY:
FORMER CONFORMED NAME: Nano Vibronix, Inc.
DATE OF NAME CHANGE: 20111206
FORMER COMPANY:
FORMER CONFORMED NAME: Nano Vibronix Inc
DATE OF NAME CHANGE: 20050510
4
1
ownership.xml
X0306
4
2020-10-01
0
0001326706
NanoVibronix, Inc.
NAOV
0001263576
MIKA THOMAS
C/O NANOVIBRONIX, INC.
525 EXECUTIVE BOULEVARD
ELMSFORD
NY
10523
1
0
0
0
Option to Purchase Common Stock
0.72
2020-10-01
4
A
0
40000
0
A
2030-10-01
Common Stock
40000
40000
D
The option vested on October 1, 2020.
/s/ Thomas Mika
2020-10-05