0001104659-21-001489.txt : 20210106 0001104659-21-001489.hdr.sgml : 20210106 20210106160557 ACCESSION NUMBER: 0001104659-21-001489 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210104 FILED AS OF DATE: 20210106 DATE AS OF CHANGE: 20210106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STERN ADAM K CENTRAL INDEX KEY: 0001403497 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37704 FILM NUMBER: 21510517 MAIL ADDRESS: STREET 1: STERN AEGIS VENTURES STREET 2: 810 7TH AVENUE 22ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DarioHealth Corp. CENTRAL INDEX KEY: 0001533998 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 452973162 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8 HATOKHEN ST. CITY: CAESAREA STATE: L3 ZIP: 38900 BUSINESS PHONE: (972)-(3)-6222929 MAIL ADDRESS: STREET 1: 8 HATOKHEN ST. CITY: CAESAREA STATE: L3 ZIP: 38900 FORMER COMPANY: FORMER CONFORMED NAME: LabStyle Innovations Corp. DATE OF NAME CHANGE: 20111101 4 1 tm211458d1_4.xml OWNERSHIP DOCUMENT X0306 4 2021-01-04 0 0001533998 DarioHealth Corp. DRIO 0001403497 STERN ADAM K 8 HATOKHEN STREET CAESAREA INDUSTRIAL PARK L3 3088900 ISRAEL 1 0 0 0 Common Stock 2021-01-04 4 P 0 619 A 24253 D Common Stock 15500 I AKS Family Partners The reporting person was awarded such securities in exchange for waiving consulting fees owed for the month of January 2021. /s/ Adam Stern 2021-01-06