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