Sec Form 4 Filing - Haufe Scott @ Medovex Corp. - 2017-09-18

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Haufe Scott
2. Issuer Name and Ticker or Trading Symbol
Medovex Corp. [ MDVX]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
3060 ROYAL BLVD, SUITE 150
3. Date of Earliest Transaction (MM/DD/YY)
09/18/2017
(Street)
ALPHARETTA, GA30022
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 09/18/2017 S 50,000 ( 1 ) D $ 1.19 ( 1 ) 1,038,961 ( 2 ) ( 3 ) ( 4 ) ( 5 ) D
Common Stock 09/19/2017 S 20,000 ( 1 ) D $ 1.18 ( 1 ) 1,018,961 ( 2 ) ( 3 ) ( 4 ) ( 5 ) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Haufe Scott
3060 ROYAL BLVD, SUITE 150
ALPHARETTA, GA30022
X
Signatures
/s/ Scott M. Haufe 09/21/2017
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The shares sold trade publicly under the symbol "MDVX" on the NASDAQ Stock Market. The price at which the shares were sold represent the average price.
( 2 )Includes 275,612 shares of common stock held by Haufe Family Limited Partnership. The Reporting Person disclaims beneficial ownership of these shares.
( 3 )Includes 532,335 shares held by Morgan Stanley Smith Barney custodian for Nicole Haufe Roth IRA. The Reporting Person disclaims beneficial ownership of these shares.
( 4 )Includes 209,275 shares held directly by the Reporting Person's spouse. The Reporting Person disclaims beneficial ownership of these shares.
( 5 )Includes 21,739 shares granted to the Reporting Person on January 17, 2017 in lieu of cash fees that were due to the Reporting Person for his board services during fiscal years 2015 and 2016.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** 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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