Filing Details
- Accession Number:
- 0000899243-17-001246
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2017-01-13 14:56:49
- Reporting Period:
- 2016-12-19
- Filing Date:
- 2017-01-13
- Accepted Time:
- 2017-01-13 14:56:49
- SEC Url:
- Form 4 Filing
Issuer
| Cik | Name | Symbol | Sector (SIC) | IRS No |
|---|---|---|---|---|
| 319016 | Fuse Medical Inc. | FZMD | Wholesale-Medical, Dental & Hospital Equipment & Supplies (5047) | 591224913 |
Insiders
| Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
|---|---|---|---|---|---|---|---|
| 1693757 | Nc 143 Family Holdings Gp Llc | 1565 North Central Expwy, Suite 200 Richardson TX 75080 | No | No | Yes | No | |
| 1693760 | Trust Family Medtech | 1565 North Central Expwy, Suite 200 Richardson TX 75080 | No | No | Yes | 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 | 2016-12-19 | 5,000,000 | $0.08 | 5,000,000 | No | 4 | P | Indirect | See Footnote |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | P | Indirect | See Footnote |
Footnotes
- These securities are directly owned by NC 143 Family Holdings, LP, a Texas limited partnership ("NC 143"). Mark W. Brooks is the sole trustee of Medtech Family Trust dated October 1, 2014 ("Medtech"); Medtech is the sole manager of NC 143 Family Holdings GP LLC (the "GP"); and the GP the sole general partner of NC 143. Accordingly, each of Mark W. Brooks, Medtech and the GP indirectly beneficially owns the reported securities. This Form 4 is filed by Medtech and the GP. NC 143 and Mark W. Brooks previously jointly filed a Form 4 reporting the acquisition of these securities.
Billionaire Hedge Funds
