0001493152-23-043632.txt : 20231204
0001493152-23-043632.hdr.sgml : 20231204
20231204204509
ACCESSION NUMBER: 0001493152-23-043632
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231115
FILED AS OF DATE: 20231204
DATE AS OF CHANGE: 20231204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Schroeder Maria
CENTRAL INDEX KEY: 0001906106
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36445
FILM NUMBER: 231464971
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
X0508
4
2023-11-15
0
0001326706
NanoVibronix, Inc.
NAOV
0001906106
Schroeder Maria
C/O NANOVIBRONIX, INC.
525 EXECUTIVE BOULEVARD
ELMSFORD
NY
10523
1
0
0
0
0
Option to Purchase Common Stock
1.24
2023-11-15
4
A
0
3333
0
A
2033-11-15
Common Stock
3333
3333
D
Option to Purchase Common Stock
8.94
2023-11-29
4
D
0
2500
0
D
2032-09-13
Common Stock
2500
0
D
100% of the option vested on November 15, 2023, in accordance with that certain option agreement entered into by and between the Issuer and the reporting person and the NanoVibronix, Inc. 2014 Long-Term Incentive Plan.
25% of the option vested on September 13, 2022 (the "2022 Date of Grant"), with an additional 25% to vest on the three-month anniversary of the 2022 Date of Grant, a further 25% to vest on the six-month anniversary of the 2022 Date of Grant, and the final 25% to vest on the nine-month anniversary of the 2022 Date of Grant, in accordance with that certain option agreement entered into by and between the Issuer and the reporting person and the NanoVibronix, Inc. 2014 Long-Term Incentive Plan.
The options were canceled by mutual agreement of the reporting person and NanoVibronix, Inc. The reporting person received $1.00 as the aggregate consideration for the cancellations.
/s/ Maria Schroeder
2023-12-04