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