SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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X
 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
 Form 3 Holdings Reported.
X
 Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
KATZAROFF JAMES C
(Last) (First) (Middle)
C/O VIVOS INC
719 JADWIN AVENUE
(Street)
RICHLAND WA 99352
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
VIVOS INC [ RDGL ] 		5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2017
4. If Amendment, Date of Original Filed (Month/Day/Year)
 6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock 02/02/2017 C4 1,545,400 A $0.5 1,064,246 D
Common Stock 05/31/2017 A4 600,000 A (1) 600,540 I By Spouse
Common Stock 07/21/2017 A4 1,500,000 A (2) 1,064,246 D
Common Stock 03/30/2017 S4 35,000 D $0.13 1,064,246 D
Common Stock 03/31/2017 S4 10,000 D $0.14 1,064,246 D
Common Stock 04/07/2017 S4 10,000 D $0.12 1,064,246 D
Common Stock 04/11/2017 S4 30,000 D $0.13 1,064,246 D
Common Stock 04/17/2017 S4 10,000 D $0.12 1,064,246 D
Common Stock 04/20/2017 S4 10,000 D $0.12 1,064,246 D
Common Stock 04/28/2017 S4 10,000 D $0.11 1,064,246 D
Common Stock 04/28/2017 S4 5,000 D $0.11 1,064,246 D
Common Stock 05/01/2017 S4 33,859 D $0.12 1,064,246 D
Common Stock 05/02/2017 S4 20,000 D $0.11 1,064,246 D
Common Stock 05/04/2017 S4 15,000 D $0.11 1,064,246 D
Common Stock 05/17/2017 S4 10,000 D $0.1 1,064,246 D
Common Stock 05/23/2017 S4 25,000 D $0.1 1,064,246 D
Common Stock 05/24/2017 S4 10,000 D $0.12 1,064,246 D
Common Stock 06/06/2017 S4 20,000 D $0.09 1,064,246 D
Common Stock 07/21/2017 S4 25,000 D $0.08 1,064,246 D
Common Stock 07/24/2017 S4 25,000 D $0.08 1,064,246 D
Common Stock 07/25/2017 S4 20,000 D $0.08 1,064,246 D
Common Stock 08/07/2017 S4 23,016 D $0.07 1,064,246 D
Common Stock 08/30/2017 S4 11,882 D $0.07 1,064,246 D
Common Stock 09/05/2017 S4 22,141 D $0.07 1,064,246 D
Common Stock 09/11/2017 S4 22,000 D $0.07 1,064,246 D
Common Stock 09/15/2017 S4 15,000 D $0.06 1,064,246 D
Common Stock 09/19/2017 S4 10,000 D $0.06 1,064,246 D
Common Stock 09/20/2017 S4 15,000 D $0.07 1,064,246 D
Common Stock 09/29/2017 S4 25,000 D $0.08 1,064,246 D
Common Stock 10/09/2017 S4 15,000 D $0.08 1,064,246(3) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Convertible Preferred Stock $0.5 02/02/2017 4C 154,540 04/15/2016 (4) Common Stock 1,545,400 $0 150,000 D
Series A Convertible Preferred Stock $0.5 05/31/2017 4A 10,000 04/15/2016 (4) Common Stock 100,000 (1) 10,000 I By Spouse
Series A Convertible Preferred Stock $0.5 07/21/2017 4A 150,000 04/15/2016 (4) Common Stock 1,500,000 (2) 150,000 D
Explanation of Responses:
1. Shares issued to Reporting Person's spouse as payment of $66,092.56 owed for services rendered to the Issuer prior to Ms. Katzaroff's resignation.
2. Shares issued to Reporting Person as payment of $206,071.51 owed for services rendered to the Issuer prior to the Reporting Person's resignation.
3. See Exhibit 99.1 for additional transactions.
4. The Series A Convertible Preferred Stock has no expiration date.
/s/ James C. Katzaroff 02/16/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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