0001104659-21-006296.txt : 20210121
0001104659-21-006296.hdr.sgml : 20210121
20210121160838
ACCESSION NUMBER: 0001104659-21-006296
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: ANDERSON RICHARD ALLAN
CENTRAL INDEX KEY: 0001266647
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37704
FILM NUMBER: 21542074
MAIL ADDRESS:
STREET 1: 11111 SANTA MONIKA BLVD STE.550
CITY: LOS ANGELES
STATE: CA
ZIP: 90025
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
tm213677-7_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-01-19
0
0001533998
DarioHealth Corp.
DRIO
0001266647
ANDERSON RICHARD ALLAN
8 HATOKHEN STREET
CAESAREA INDUSTRIAL PARK
L3
3088900
ISRAEL
0
1
0
0
President, GM of North America
Restricted Stock Grants
2021-01-19
4
A
0
91652
0
A
106834
D
Stock Option (right to buy)
17.89
2021-01-19
4
A
0
91652
0
A
2027-01-19
Common Stock
91652
91652
D
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 options will vest in twelve equal quarterly installments over a three-year period commencing on January 19, 2021, subject to the Reporting Person's continued employment by the Issuer.
/s/ Richard Anderson
2021-01-21