0001178913-15-002354.txt : 20150724 0001178913-15-002354.hdr.sgml : 20150724 20150724084640 ACCESSION NUMBER: 0001178913-15-002354 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150724 DATE AS OF CHANGE: 20150724 EFFECTIVENESS DATE: 20150724 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Medigus Ltd. CENTRAL INDEX KEY: 0001618500 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 STATE OF INCORPORATION: L3 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-244383 FILM NUMBER: 151003494 BUSINESS ADDRESS: STREET 1: BUILDING 7A, OMER INDUSTRIAL PARK STREET 2: POB 3030 CITY: OMER STATE: L3 ZIP: 8496500 BUSINESS PHONE: 972722602211 MAIL ADDRESS: STREET 1: BUILDING 7A, OMER INDUSTRIAL PARK STREET 2: POB 3030 CITY: OMER STATE: L3 ZIP: 8496500 D 1 primary_doc.xml X0707 D LIVE 0001618500 Medigus Ltd. BUILDING 7A, OMER INDUSTRIAL PARK POB 3030 OMER L3 ISRAEL 8496500 972722602211 ISRAEL None None Other Limited company true Avraham Ben-Tzvi Suite 7A Omer Industrial Park POB 3030 Omer L3 ISRAEL 8496500 Executive Officer Doron Birger Suite 7A Omer Industrial Park POB 3030 Omer L3 ISRAEL 8496500 Director Christopher Rowland Suite 7A Omer Industrial Park POB 3030 Omer L3 ISRAEL 8496500 Executive Officer Director Efrat Venkert Suite 7A Omer Industrial Park POB 3030 Omer L3 ISRAEL 8496500 Director Milena Ridl Suite 7A Omer Industrial Park POB 3030 Omer L3 ISRAEL 8496500 Executive Officer Jeremy Starkweather Suite 7A Omer Industrial Park POB 3030 Omer L3 ISRAEL 8496500 Executive Officer Yaron Silberman Suite 7A Omer Industrial Park POB 3030 Omer L3 ISRAEL 8496500 Executive Officer Nissim Darvish Suite 7A Omer Industrial Park POB 3030 Omer L3 ISRAEL 8496500 Director Anat Naschitz Suite 7A Omer Industrial Park POB 3030 Omer L3 ISRAEL 8496500 Director Ori Hershkovitz Suite 7A Omer Industrial Park POB 3030 Omer L3 ISRAEL 8496500 Director Aviel Roy-Shapira Suite 7A Omer Industrial Park POB 3030 Omer L3 ISRAEL 8496500 Executive Officer Minelu Sonnenschein Suite 7A Omer Industrial Park POB 3030 Omer L3 ISRAEL 8496500 Executive Officer Oded Yatzkan Suite 7A Omer Industrial Park POB 3030 Omer L3 ISRAEL 8496500 Executive Officer Other Health Care Decline to Disclose 06b false 2015-07-12 false true true false 0 Roth Capital Partners 15407 None None 888 SAN CLEMENTE NEWPORT BEACH CA CALIFORNIA 92660 CA CALIFORNIA IL ILLINOIS NJ NEW JERSEY NY NEW YORK false 3006296 3006296 0 The offering was priced in New Israeli Shekel. The above dollar amounts were calculated using the Bank of Israel Representative Exchange Rate for NIS/USD as of July 12, 2015. false 3 85000 true 0 Roth Capital is entitled to a fixed financial advisory fee in the amount of $75,000. In addition, Roth Capital is entitled to expenses reimbursement up to $10,000, and for expenses exceeding $10,000 subject to prior approval by the issuer. 0 false Medigus Ltd. /s/ Avraham Ben-Tzvi Avraham Ben-Tzvi General Counsel and Company Secretary 2015-07-24