0001493152-23-021751.txt : 20230620
0001493152-23-021751.hdr.sgml : 20230620
20230620061009
ACCESSION NUMBER: 0001493152-23-021751
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230615
FILED AS OF DATE: 20230620
DATE AS OF CHANGE: 20230620
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Huntsman Ronald Kirk
CENTRAL INDEX KEY: 0001835498
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39796
FILM NUMBER: 231023259
MAIL ADDRESS:
STREET 1: 9137 RIDGELINE BOULEVARD, SUITE 135
CITY: HIGHLANDS RANCH
STATE: CO
ZIP: 80129
ISSUER:
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: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 7921 SOUTHPARK PLAZA,
STREET 2: SUITE 210
CITY: LITTLETON
STATE: CO
ZIP: 80120
BUSINESS PHONE: (866)908-4867
MAIL ADDRESS:
STREET 1: 7921 SOUTHPARK PLAZA,
STREET 2: SUITE 210
CITY: LITTLETON
STATE: CO
ZIP: 80120
FORMER COMPANY:
FORMER CONFORMED NAME: Vivos BioTechnologies, Inc.
DATE OF NAME CHANGE: 20170901
4
1
ownership.xml
X0407
4
2023-06-15
0
0001716166
Vivos Therapeutics, Inc.
VVOS
0001835498
Huntsman Ronald Kirk
7921 SOUTHPARK PLAZA,
SUITE 210
LITTLETON
CO
80120
1
1
0
0
Chief Executive Officer
0
Common Stock
2023-06-15
4
P
0
21
0.50
A
57521
D
Common Stock
2023-06-16
4
P
0
10000
0.54
A
67521
D
Common Stock
2023-06-16
4
P
0
5000
0.53
A
72521
D
Common Stock
1740000
I
See footnote
Shares held by Coronado V Partners, LLC, of which the reporting person is a member and manager.
/s/ Brad Amman as attorney-in-fact for R. Kirk Huntsman
2023-06-20