0001493152-21-012902.txt : 20210525
0001493152-21-012902.hdr.sgml : 20210525
20210525214531
ACCESSION NUMBER: 0001493152-21-012902
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210525
FILED AS OF DATE: 20210525
DATE AS OF CHANGE: 20210525
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Amman Bradford K.
CENTRAL INDEX KEY: 0001425339
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39796
FILM NUMBER: 21962589
MAIL ADDRESS:
STREET 1: 6400 S. FIDDLER'S GREEN CIRCLE
STREET 2: SUITE 1970
CITY: GREENWOOD VILLAGE
STATE: X1
ZIP: 80111
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: 9137 RIDGELINE BOULEVARD
STREET 2: SUITE 135
CITY: HIGHLANDS RANCH
STATE: CO
ZIP: 80129
BUSINESS PHONE: (866)908-4867
MAIL ADDRESS:
STREET 1: 9137 RIDGELINE BOULEVARD
STREET 2: SUITE 135
CITY: HIGHLANDS RANCH
STATE: CO
ZIP: 80129
FORMER COMPANY:
FORMER CONFORMED NAME: Vivos BioTechnologies, Inc.
DATE OF NAME CHANGE: 20170901
4
1
ownership.xml
X0306
4
2021-05-25
0
0001716166
Vivos Therapeutics, Inc.
VVOS
0001425339
Amman Bradford K.
9137 S. RIDGELINE BLVD, SUITE 135
HIGHLANDS RANCH
CO
80129
0
1
0
0
Chief Financial Officer
Common Stock
2021-05-25
4
P
0
1000
5.29
A
2000
D
Stock Option
7.50
2026-03-12
Common Stock
100000
100000
D
Stock Option
7.50
2024-11-18
Common Stock
16667
16667
D
Stock Option
7.50
2023-10-22
Common Stock
83334
83334
D
100,000 stock options granted on March 12, 2021. One-fifth vested immediately and one-fifth vests annually on each anniversary date through March 12, 2025.
16,667 stock options granted on November 18, 2019. One-fifth vested immediately and one-fifth vests annually on each anniversary date through November 18, 2023.
83,334 stock options granted on November 18, 2019. One-fifth vested immediately and one-fifth vests annually on each anniversary date through October 22, 2022.
/s/ Sean McKendry as attorney-in-fact for Bradford K. Amman
2021-05-25