0001415889-21-004817.txt : 20211008
0001415889-21-004817.hdr.sgml : 20211008
20211008211934
ACCESSION NUMBER: 0001415889-21-004817
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210929
FILED AS OF DATE: 20211008
DATE AS OF CHANGE: 20211008
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Burian Martin Andrew
CENTRAL INDEX KEY: 0001886365
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40785
FILM NUMBER: 211316481
MAIL ADDRESS:
STREET 1: SUITE 1225
STREET 2: 4600 S ULSTER ST
CITY: DENVER
STATE: CO
ZIP: 80237
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Assure Holdings Corp.
CENTRAL INDEX KEY: 0001798270
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 822726719
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4600 SOUTH ULSTER STREET
STREET 2: SUITE 1225
CITY: DENVER
STATE: CO
ZIP: 80237
BUSINESS PHONE: 720-287-3039
MAIL ADDRESS:
STREET 1: 4600 SOUTH ULSTER STREET
STREET 2: SUITE 1225
CITY: DENVER
STATE: CO
ZIP: 80237
3
1
form3-10082021_061025.xml
X0206
3
2021-09-29
0
0001798270
Assure Holdings Corp.
IONM
0001886365
Burian Martin Andrew
4600 S. ULSTER ST.
SUITE 1225
DENVER
CO
80237
true
false
false
false
Common stock
20600
D
Common stock
32000
I
By Burian Investments Inc
Common stock
8000
I
By Cheryl Burian ITF Cameron & Lauren Burian
Common stock
6400
I
By Cheryl Burian
Stock option
9
2021-10-01
2023-10-01
Stock option
15000
D
Stock option
7.80
2022-01-16
2024-01-16
Stock option
30000
D
Stock option
5.30
2024-02-01
2026-02-01
Stock option
10000
D
Common stock is directly owned by Burian Investments Inc.
Common stock is directly owned by Cheryl Burian ITF Cameron & Lauren Burian
Common stock is directly owned by Cheryl Burian.
20% of option issuance will vest immediately upon Grant Date and one sixth of the balance will vest every 6 months thereafter
20% of option issuance will vest immediately upon Grant Date and one sixth of the balance will vest every 6 months thereafter
20% of option issuance will vest immediately upon Grant Date and one sixth of the balance will vest every 6 months thereafter
/s/ Martin A Burian
2021-10-08