0001493152-21-021915.txt : 20210902 0001493152-21-021915.hdr.sgml : 20210902 20210902212719 ACCESSION NUMBER: 0001493152-21-021915 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210831 FILED AS OF DATE: 20210902 DATE AS OF CHANGE: 20210902 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: 211235004 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 2021-08-31 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 2000 D Stock Option (Right to Buy) 5.26 2021-08-31 4 A 0 50000 5.26 A 2026-08-31 Common Stock 50000 50000 D Stock Option (Right to Buy) 7.50 2021-03-12 4 A 0 100000 7.50 A 2026-03-12 Common Stock 100000 100000 D Stock Option (Right to Buy) 7.50 2019-11-18 4 A 0 16667 7.50 A 2024-11-18 Common Stock 16667 16667 D Stock Option (Right to Buy) 7.50 2018-10-22 4 A 0 83334 7.50 A 2023-10-22 Common Stock 83334 83334 D 50,000 stock options granted on August 31, 2021. One-fifth vested immediately and one-fifth vests annually on each anniversary date through August 31, 2025. 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 October 22, 2018. One-fifth vested immediately and one-fifth vests annually on each anniversary date through October 22, 2022 /s/ Linda G. Garcia as attorney-in-fact for Bradford K. Amman 2021-09-02