0001493152-20-016979.txt : 20200831 0001493152-20-016979.hdr.sgml : 20200831 20200831104028 ACCESSION NUMBER: 0001493152-20-016979 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200713 FILED AS OF DATE: 20200831 DATE AS OF CHANGE: 20200831 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Goldstein Martin M CENTRAL INDEX KEY: 0001639061 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36445 FILM NUMBER: 201150284 MAIL ADDRESS: STREET 1: C/O NANOVIBRONIX, INC. STREET 2: 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 2020-07-13 0 0001326706 NanoVibronix, Inc. NAOV 0001639061 Goldstein Martin M C/O NANOVIBRONIX, INC. 525 EXECUTIVE BOULEVARD ELMSFORD NY 10523 1 0 0 0 Option to Purchase Common Stock 1.60 2020-07-13 4 A 0 22500 0 A 2030-07-13 Common Stock 22500 22500 D The option vested on July 13, 2020. /s/ Martin Goldstein 2020-08-31