0001140361-17-004725.txt : 20170207 0001140361-17-004725.hdr.sgml : 20170207 20170207104419 ACCESSION NUMBER: 0001140361-17-004725 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170106 FILED AS OF DATE: 20170207 DATE AS OF CHANGE: 20170207 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Microbot Medical Inc. CENTRAL INDEX KEY: 0000883975 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 943078125 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 175 DERBY ST. 27/1 STREET 2: . CITY: HINGHAM STATE: MA ZIP: 02043 BUSINESS PHONE: 908-938-5561 MAIL ADDRESS: STREET 1: 175 DERBY ST. 27/1 STREET 2: . CITY: HINGHAM STATE: MA ZIP: 02043 FORMER COMPANY: FORMER CONFORMED NAME: STEMCELLS INC DATE OF NAME CHANGE: 20000524 FORMER COMPANY: FORMER CONFORMED NAME: CYTOTHERAPEUTICS INC/DE DATE OF NAME CHANGE: 19930328 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Madden Martin J. CENTRAL INDEX KEY: 0001696864 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19871 FILM NUMBER: 17577613 MAIL ADDRESS: STREET 1: C/O MICROBOT MEDICAL INC. STREET 2: 175 DERBY STREET 27/1 CITY: HINGHAM STATE: MA ZIP: 02043 3 1 doc1.xml FORM 3 X0206 3 2017-01-06 1 0000883975 Microbot Medical Inc. MBOT 0001696864 Madden Martin J. C/O MICROBOT MEDICAL, INC. 175 DERBY STREET 27/1 HINGHAM MA 02043 1 0 0 0 /s/ Martin J. Madden 2017-02-07