0001179110-14-011683.txt : 20140711 0001179110-14-011683.hdr.sgml : 20140711 20140711155202 ACCESSION NUMBER: 0001179110-14-011683 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140414 FILED AS OF DATE: 20140711 DATE AS OF CHANGE: 20140711 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: 14971664 MAIL ADDRESS: STREET 1: 239 DELANCY STREET CITY: PHILADELPHIA STATE: PA ZIP: 19106 4 1 edgar.xml FORM 4 - X0306 4 2014-04-14 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 2014-04-14 4 J 0 500000 0 A 2108572 D Stock Options (right to buy) 0.15 2014-06-30 4 A 0 66667 0 A 2014-06-30 2024-06-30 Common Stock 66667 66667 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. Shares were acquired through distribution from a partnership. Arnon Dreyfuss 2014-07-11