0001493152-20-024403.txt : 20201228 0001493152-20-024403.hdr.sgml : 20201228 20201228213009 ACCESSION NUMBER: 0001493152-20-024403 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201222 FILED AS OF DATE: 20201228 DATE AS OF CHANGE: 20201228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ferguson Michael CENTRAL INDEX KEY: 0001607534 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36445 FILM NUMBER: 201420133 MAIL ADDRESS: STREET 1: 525 EXECUTIVE BOULEVARD CITY: ELMSFORD STATE: NY ZIP: 10523 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 2020-12-22 0 0001326706 NanoVibronix, Inc. NAOV 0001607534 Ferguson Michael C/O NANOVIBRONIX, INC. 525 EXECUTIVE BOULEVARD ELMSFORD NY 10523 1 0 0 0 Option to Purchase Common Stock 0.84 2020-12-22 4 A 0 85000 0 A 2030-12-22 Common Stock 85000 85000 D 20% of the option vested on December 22, 2020 (the "Date of Grant"), with an additional 20% to vest on the three month anniversary of the Date of Grant, a further 20% to vest on the six month anniversary of the Date of Grant, a further 20% to vest on the nine month anniversary of the Date of Grant, and the final 20% to vest on the year anniversary of the Date of Grant. /s/ Michael Ferguson 2020-12-28