0001465818-19-000027.txt : 20190516 0001465818-19-000027.hdr.sgml : 20190516 20190516143930 ACCESSION NUMBER: 0001465818-19-000027 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20190516 DATE AS OF CHANGE: 20190516 EFFECTIVENESS DATE: 20190516 FILER: 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: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-339784 FILM NUMBER: 19831860 BUSINESS ADDRESS: STREET 1: 605 W.KNOX RD., STREET 2: SUITE 102 CITY: TEMPE STATE: AZ ZIP: 85284 BUSINESS PHONE: (480)567-9787 MAIL ADDRESS: STREET 1: 605 W.KNOX RD., STREET 2: SUITE 102 CITY: TEMPE STATE: AZ ZIP: 85284 FORMER COMPANY: FORMER CONFORMED NAME: Vivos BioTechnologies, Inc. DATE OF NAME CHANGE: 20170901 D 1 primary_doc.xml X0708 D LIVE 0001716166 Vivos Therapeutics, Inc. 605 W.KNOX RD. SUITE 102 TEMPE AZ ARIZONA 85284 (480)567-9787 WYOMING Vivos BioTechnologies, Inc. Corporation true 2016 R. Kirk Huntsman 605 W.KNOX RD. SUITE 102 TEMPE AZ ARIZONA 85284 Executive Officer Director Gurdev Dave Singh 605 W.KNOX RD. SUITE 102 TEMPE AZ ARIZONA 85284 Executive Officer Director Bradford Amman 605 W.KNOX RD. SUITE 102 TEMPE AZ ARIZONA 85284 Executive Officer Cody Teets 605 W.KNOX RD. SUITE 102 TEMPE AZ ARIZONA 85284 Director Kelly J. McCrann 605 W.KNOX RD. SUITE 102 TEMPE AZ ARIZONA 85284 Director Paul Lajoie 605 W.KNOX RD. SUITE 102 TEMPE AZ ARIZONA 85284 Director Dan McKeon 605 W.KNOX RD. SUITE 102 TEMPE AZ ARIZONA 85284 Director Biotechnology Decline to Disclose 06c false 2019-05-01 false true true true Unsecured Convertible Promissory Notes false 0 Maxim Group LLC 12708 None None 405 Lexington Ave New York NY NEW YORK 10174 All States false 5000000 556500 4443500 false 9 350000 true 0 0 true Proceeds will be used for working capital of the company, which may include payments to officers of the company. false Vivos Therapeutics, Inc. /s/ R. Kirk Huntsman R. Kirk Huntsman Chief Executive Officer 2019-05-16