0001402479-22-000066.txt : 20220616 0001402479-22-000066.hdr.sgml : 20220616 20220616165818 ACCESSION NUMBER: 0001402479-22-000066 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220615 FILED AS OF DATE: 20220616 DATE AS OF CHANGE: 20220616 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Johnson Paul D CENTRAL INDEX KEY: 0001891761 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36533 FILM NUMBER: 221021291 MAIL ADDRESS: STREET 1: 317 ORCHID AVENUE CITY: CORONA DEL MAR STATE: CA ZIP: 92625 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MedAvail Holdings, Inc. CENTRAL INDEX KEY: 0001402479 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912] IRS NUMBER: 900772394 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4720 E COTTON GIN LOOP STREET 2: SUITE 220 CITY: PHOENIX STATE: AZ ZIP: 85040 BUSINESS PHONE: 1.877.830.0826 MAIL ADDRESS: STREET 1: 4720 E COTTON GIN LOOP STREET 2: SUITE 220 CITY: PHOENIX STATE: AZ ZIP: 85040 FORMER COMPANY: FORMER CONFORMED NAME: MYOS RENS TECHNOLOGY INC. DATE OF NAME CHANGE: 20160322 FORMER COMPANY: FORMER CONFORMED NAME: MYOS Corp DATE OF NAME CHANGE: 20120521 FORMER COMPANY: FORMER CONFORMED NAME: Atlas Therapeutics Corp DATE OF NAME CHANGE: 20100719 4 1 wf-form4_165541308551927.xml FORM 4 X0306 4 2022-06-15 0 0001402479 MedAvail Holdings, Inc. MDVL 0001891761 Johnson Paul D C/O MEDAVAIL HOLDINGS, INC. 6665 MILLCREEK DR. UNIT 1 MISSISSAUGA L5N 5M4 1 0 0 0 Common Stock 1.45 2022-06-15 4 A 0 116505 0 A 2022-06-15 2032-06-15 Common Stock 116505.0 116505 D All shares subject to the option grant will vest on the earlier of the one-year anniversary of the date of grant, or the date of the next Annual Meeting following the date of grant, subject to continued service on the Board through each vesting date. Ramona Seabaugh, attorney-in-fact for Paul Johnson 2022-06-15