Filing Details

Accession Number:
0001144204-13-037185
Form Type:
4
Zero Holdings:
No
Publication Time:
2013-06-28 15:05:18
Reporting Period:
2013-06-26
Filing Date:
2013-06-28
Accepted Time:
2013-06-28 15:05:18
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1571088 Medworth Acquisition Corp. MWRX Blank Checks (6770) 461970047
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1188813 Jeffrey Rein 801 Brickell Avenue
Suite 943
Miami FL US 33131
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2013-06-26 5,000 $0.00 55,000 No 4 J Direct
Common Stock Acquisiton 2013-06-26 18,750 $8.00 18,750 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 J Direct
No 4 P Direct
Footnotes
  1. Represents shares of common stock received by the Reporting Person as a result of a stock dividend declared by the Issuer's Board of Directors on June 26, 2013.
  2. On the date hereof, the Reporting Person irrevocably committed to purchase these shares of common stock. The purchase is being made on a private placement basis and will be consummated simultaneously with the closing of the Issuer's initial public offering.