0001144204-14-061439.txt : 20141016 0001144204-14-061439.hdr.sgml : 20141016 20141016112950 ACCESSION NUMBER: 0001144204-14-061439 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141014 FILED AS OF DATE: 20141016 DATE AS OF CHANGE: 20141016 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: 141159129 MAIL ADDRESS: STREET 1: 122 WILLOW STREET CITY: BROOKLYN STATE: NY ZIP: 11201 4 1 v391466_form4.xml OWNERSHIP DOCUMENT X0306 4 2014-10-14 0 0001446159 Skyline Medical Inc. SKLN 0001546485 Herschkowitz Samuel 144 WILLOW STREET BROOKLYN NY 11217 0 0 1 0 Common Stock, par value $0.01 per share 2014-10-14 4 P 0 50000 0.12 A 47043057 D /s/ Samuel Herschkowitz 2014-10-16