0001144204-14-059673.txt : 20141006 0001144204-14-059673.hdr.sgml : 20141006 20141006153442 ACCESSION NUMBER: 0001144204-14-059673 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141002 FILED AS OF DATE: 20141006 DATE AS OF CHANGE: 20141006 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Skyline Medical Inc. CENTRAL INDEX KEY: 0001446159 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 331007393 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2915 COMMERS DRIVE, STREET 2: SUITE 900 CITY: EAGAN STATE: MN ZIP: 55121 BUSINESS PHONE: 651-389-4800 MAIL ADDRESS: STREET 1: 2915 COMMERS DRIVE, STREET 2: SUITE 900 CITY: EAGAN STATE: MN ZIP: 55121 FORMER COMPANY: FORMER CONFORMED NAME: BioDrain Medical, Inc. DATE OF NAME CHANGE: 20080925 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Herschkowitz Samuel CENTRAL INDEX KEY: 0001546485 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54361 FILM NUMBER: 141142784 MAIL ADDRESS: STREET 1: 122 WILLOW STREET CITY: BROOKLYN STATE: NY ZIP: 11201 4 1 v390818_4.xml OWNERSHIP DOCUMENT X0306 4 2014-10-02 0 0001446159 Skyline Medical Inc. SKLN 0001546485 Herschkowitz Samuel 122 WILLOW STREET BROOKLYN NY 11201 0 0 1 0 Common Stock, par value $0.01 per share 2014-10-02 4 P 0 40680 0.11 A 46823057 D Common Stock, par value $0.01 per share 2014-10-03 4 P 0 170000 0.11 A 46993057 D /s/ Samuel Herschkowitz 2014-10-06