0001493152-22-036729.txt : 20221228 0001493152-22-036729.hdr.sgml : 20221228 20221228214550 ACCESSION NUMBER: 0001493152-22-036729 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221223 FILED AS OF DATE: 20221228 DATE AS OF CHANGE: 20221228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Krammer Anja B CENTRAL INDEX KEY: 0001418077 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39796 FILM NUMBER: 221496232 MAIL ADDRESS: STREET 1: C/O BIOPHARMX CORPORATION STREET 2: 1505 ADAMS DRIVE, SUITE D CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Vivos Therapeutics, Inc. CENTRAL INDEX KEY: 0001716166 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 813224056 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7921 SOUTHPARK PLAZA, STREET 2: SUITE 210 CITY: LITTLETON STATE: CO ZIP: 80120 BUSINESS PHONE: (866)908-4867 MAIL ADDRESS: STREET 1: 7921 SOUTHPARK PLAZA, STREET 2: SUITE 210 CITY: LITTLETON STATE: CO ZIP: 80120 FORMER COMPANY: FORMER CONFORMED NAME: Vivos BioTechnologies, Inc. DATE OF NAME CHANGE: 20170901 4 1 ownership.xml X0306 4 2022-12-23 0 0001716166 Vivos Therapeutics, Inc. VVOS 0001418077 Krammer Anja B 7921 SOUTHPARK PLAZA, SUITE 210 LITTLETON CO 80120 1 0 0 0 Stock Option (Right to Buy) 0.48 2022-12-23 4 A 0 30000 0.48 A 2027-12-23 Common Stock 76667 76667 D 30,000 stock options granted on December 23, 2022. One-half vested immediately and one-eighth vests quarterly every three months through December 23, 2023. /s/ Brad Amman as attorney-in-fact for Anja B. Krammer 2022-12-28