Filing Details

Accession Number:
0001144204-18-012533
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-03-02 16:07:02
Reporting Period:
2018-02-28
Accepted Time:
2018-03-02 16:07:02
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1533998 Dariohealth Corp. DRIO Surgical & Medical Instruments & Apparatus (3841) 452973162
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1667943 Zvi Ben-David 8 Hatokhen Street
Caesarea Industrial Park L3 3088900
Chief Financial Officer No Yes 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 2018-02-28 9,018 $1.40 9,018 No 4 P Indirect By spouse
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By spouse
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series C Convertible Preferred Stock Acquisiton 2018-02-28 13,349 $2.80 26,698 $1.40
Common Stock Warrant to purchase Common Stock Acquisiton 2018-02-28 28,573 $0.00 28,573 $1.80
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
13,349 No 4 P Indirect
28,573 2018-08-28 2019-08-28 No 4 P Indirect
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 435,766 Direct
Footnotes
  1. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
  2. The Series C Convertible Preferred Stock automatically converts into Common Stock on a 1:2 basis upon shareholder approval of the conversion and has no expiration date.
  3. The Warrants were issued in connection with the purchase of the Common Stock and the Series C Convertible Preferred Stock reported herein.