0001179110-13-018133.txt : 20131217 0001179110-13-018133.hdr.sgml : 20131217 20131217165803 ACCESSION NUMBER: 0001179110-13-018133 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131213 FILED AS OF DATE: 20131217 DATE AS OF CHANGE: 20131217 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: MN 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: DREYFUSS ARNON I CENTRAL INDEX KEY: 0001583542 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54361 FILM NUMBER: 131282765 MAIL ADDRESS: STREET 1: 239 DELANCY STREET CITY: PHILADELPHIA STATE: PA ZIP: 19106 4 1 edgar.xml FORM 4 - X0306 4 2013-12-13 0 0001446159 Skyline Medical Inc. SKLN 0001583542 DREYFUSS ARNON I 239 DELANCEY STREET PHILADELPHIA PA 19106 1 0 0 0 Common Stock, $.01 par value 20000 I By the Reporting Person as custodian for Ilan B. Dreyfuss UTMA/UGMA Common Stock, $.01 par value 20000 I By the Reporting Person as Custodian for Gil N. Dreyfuss Unif Tran to Minors Act Common Stock, $.01 par value 10000 I By Trust FBO Ilan B. Dreyfuss Common Stock, $.01 par value 10000 I By Trust FBO Gil N. Dreyfuss Common Stock, $.01 par value 2013-12-13 4 P 0 5021 0.24 A 1608572 D The Reporting Person disclaims beneficial ownership of these shares, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose. Neither the Reporting Person nor a family member is the trustee of such trust. Exhibit 24.Power of Attorney incorporated by reference filed on 8/30/2013. /Bob Myers/ As Attorney-in-fact for Arnon Dreyfuss 2013-12-13