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