Filing Details

Accession Number:
0000899243-18-003255
Form Type:
4/A
Zero Holdings:
No
Publication Time:
2018-02-08 14:56:49
Reporting Period:
2016-12-19
Accepted Time:
2018-02-08 14:56:49
Original Submission Date:
2016-12-29
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
1688047 Nc 143 Family Holdings, Lp 1565 N. Central Expressway, Suite 200
Richardson TX 75080
No No Yes No
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 Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Footnotes
  1. These securities are directly owned by NC 143 Family Holdings, LP, a Texas limited partnership ("NC 143"). However, both the Medtech Family Trust dated October 1, 2014 ("Medtech"), and NC 143 Family Holdings GP LLC (the "GP") indirectly own the reported securities. Medtech is the sole manager of the GP and the GP is the sole general partner of NC 143. Accordingly, both Medtech and the GP indirectly beneficially own the reported securities. This Form 4 is filed jointly by NC 143, Medtech, and the GP. This Form 4 is filed jointly by NC 143, Medtech, and the GP.