Initial Statement of Beneficial Ownership (3)
July 09 2018 - 10:36AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
MOORHEAD DANIEL J
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2. Date of Event Requiring Statement (MM/DD/YYYY)
7/9/2018
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3. Issuer Name
and
Ticker or Trading Symbol
ZYNEX INC [ZYXI]
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(Last)
(First)
(Middle)
C/O ZYNEX, INC., 9555 MAROON CIRCLE
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
Chief Financial Officer /
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(Street)
ENGLEWOOD, CO 80112
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
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X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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10000
(1)
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D
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Common Stock
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5000
(2)
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D
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Common Stock
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5000
(3)
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D
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Common Stock
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5000
(4)
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Option to Purchase Common Stock)
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6/5/2018
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6/5/2027
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A
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200000
(5)
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$0.40
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D
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Option to Purchase Common Stock
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9/5/2018
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9/5/2027
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A
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10000
(6)
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$1.39
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D
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Option to Purchase Common Stock
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12/11/2018
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12/11/2027
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A
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57260
(7)
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$2.50
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D
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Explanation of Responses:
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(1)
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Represents a restricted stock award issued pursuant to the Issuer's 2017 Stock Incentive Plan (the "Plan") on June 5, 2017, of which 2,500 shares are vested and which such total award vests in four equal annual installments beginning on the one year anniversary of the issue date
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(2)
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Represents a restricted stock award issued pursuant to the Plan on December 11, 2017, of which no shares are vested and which such total award vests in four equal annual installments beginning on the one year anniversary of the issue date
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(3)
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Represents a restricted stock award issued pursuant to the Plan on March 5, 2018, of which no shares are vested and which such total award vests in four equal annual installments beginning on the one year anniversary of the issue date.
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(4)
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Represents a restricted stock award issued pursuant to the Plan on June 5, 2018, of which no shares are vested and which such total award vests in four equal annual installments beginning on the one year anniversary of the issue date.
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(5)
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Represents an option to purchase 200,000 shares of common stock issued pursuant to the Plan on June 5, 2017, of which options to purchase 50,000 shares of common stock are vested and which such total option vests in four equal annual installments beginning on the one year anniversary of the issue date.
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(6)
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Represents an option to purchase 10,000 shares of common stock issued pursuant to the Plan on September 5, 2017, of which no options are vested and which such total option vests in four equal annual installments beginning on the one year anniversary of the issue date.
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(7)
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Represents an option to purchase 57,260 shares of common stock issued pursuant to the Plan on December 11, 2017, of which no options are vested and which such total option vests in four equal annual installments beginning on the one year anniversary of the issue date.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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MOORHEAD DANIEL J
C/O ZYNEX, INC.
9555 MAROON CIRCLE
ENGLEWOOD, CO 80112
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Chief Financial Officer
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Signatures
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/s/ Daniel Moorhead
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7/9/2018
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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