Form D Raw Data - Electronic Filing Depository

EFDID: 156146EFD: Raw Data

Issuer: Sensus Healthcare, Inc. (0001494891) - D

Accession: 0001415889-16-004232 () (EDGAR Files) (Form D)

Edgar Posted: Jan. 4, 2016
EFD Posted: Jan. 5, 2016

- < edgarSubmission >

< schemaVersion > X0707 </ schemaVersion >

< submissionType > D </ submissionType >

< testOrLive > LIVE </ testOrLive >

- < primaryIssuer >

< cik > 0001494891 </ cik >

< entityName > Sensus Healthcare, Inc. </ entityName >

- < issuerAddress >

< street1 > 851 Broken Sound Parkway NW </ street1 >

< street2 > Suite 215 </ street2 >

< city > Boca Raton </ city >

< stateOrCountry > FL </ stateOrCountry >

< stateOrCountryDescription > FLORIDA </ stateOrCountryDescription >

< zipCode > 33487 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 561-922-5808 </ issuerPhoneNumber >

< jurisdictionOfInc > DELAWARE </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< previousName > Sensus Healthcare, LLC </ previousName >

</ edgarPreviousNameList >

< entityType > Corporation </ entityType >

- < yearOfInc >

< overFiveYears > true </ overFiveYears >

</ yearOfInc >

</ primaryIssuer >

- < relatedPersonsList >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Joseph </ firstName >

< middleName > C. </ middleName >

< lastName > Sardano </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 851 Broken Sound Parkway NW </ street1 >

< street2 > Suite 215 </ street2 >

< city > Boca Raton </ city >

< stateOrCountry > FL </ stateOrCountry >

< stateOrCountryDescription > FLORIDA </ stateOrCountryDescription >

< zipCode > 33487 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Chief Executive Officer </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > John </ firstName >

< middleName > C. </ middleName >

< lastName > Heinrich </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 851 Broken Sound Parkway NW </ street1 >

< street2 > Suite 215 </ street2 >

< city > Boca Raton </ city >

< stateOrCountry > FL </ stateOrCountry >

< stateOrCountryDescription > FLORIDA </ stateOrCountryDescription >

< zipCode > 33487 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > William </ firstName >

< middleName > C. </ middleName >

< lastName > McCall </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 851 Broken Sound Parkway NW </ street1 >

< street2 > Suite 215 </ street2 >

< city > Boca Raton </ city >

< stateOrCountry > FL </ stateOrCountry >

< stateOrCountryDescription > FLORIDA </ stateOrCountryDescription >

< zipCode > 33487 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Samuel </ firstName >

< middleName > C. </ middleName >

< lastName > O'Rear </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 851 Broken Sound Parkway NW </ street1 >

< street2 > Suite 215 </ street2 >

< city > Boca Raton </ city >

< stateOrCountry > FL </ stateOrCountry >

< stateOrCountryDescription > FLORIDA </ stateOrCountryDescription >

< zipCode > 33487 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Kalman </ firstName >

< middleName > C. </ middleName >

< lastName > Fishman </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 851 Broken Sound Parkway NW </ street1 >

< street2 > Suite 215 </ street2 >

< city > Boca Raton </ city >

< stateOrCountry > FL </ stateOrCountry >

< stateOrCountryDescription > FLORIDA </ stateOrCountryDescription >

< zipCode > 33487 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Chief Technology Officer and Chief Operating Officer </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Arthur </ firstName >

< middleName > C. </ middleName >

< lastName > Levine </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 851 Broken Sound Parkway NW </ street1 >

< street2 > Suite 215 </ street2 >

< city > Boca Raton </ city >

< stateOrCountry > FL </ stateOrCountry >

< stateOrCountryDescription > FLORIDA </ stateOrCountryDescription >

< zipCode > 33487 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Chief Financial Officer </ relationshipClarification >

</ relatedPersonInfo >

</ relatedPersonsList >

- < offeringData >

- < industryGroup >

< industryGroupType > Other Technology </ industryGroupType >

</ industryGroup >

- < issuerSize >

< revenueRange > Decline to Disclose </ revenueRange >

</ issuerSize >

- < federalExemptionsExclusions >

< item > 06b </ item >

</ federalExemptionsExclusions >

- < typeOfFiling >

- < newOrAmendment >

< isAmendment > false </ isAmendment >

</ newOrAmendment >

- < dateOfFirstSale >

< value > 2015-12-28 </ value >

</ dateOfFirstSale >

</ typeOfFiling >

- < durationOfOffering >

< moreThanOneYear > false </ moreThanOneYear >

</ durationOfOffering >

- < typesOfSecuritiesOffered >

< isEquityType > true </ isEquityType >

< isOtherType > true </ isOtherType >

< descriptionOfOtherType > The securities sold in this offering were limited liability company membership units of Sensus Healthcare, LLC, which subsequently converted into shares of common stock of Sensus Healthcare, Inc. in connection with a corporate conversion. </ descriptionOfOtherType >

</ typesOfSecuritiesOffered >

- < businessCombinationTransaction >

< isBusinessCombinationTransaction > false </ isBusinessCombinationTransaction >

</ businessCombinationTransaction >

< minimumInvestmentAccepted > 25000 </ minimumInvestmentAccepted >

- < salesCompensationList >

- < recipient >

< recipientName > Neidiger, Tucker, Bruner, Inc. </ recipientName >

< recipientCRDNumber > 7425 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 9540 South MAroon Circle </ street1 >

< street2 > Suite 250 </ street2 >

< city > Englewood </ city >

< stateOrCountry > CO </ stateOrCountry >

< stateOrCountryDescription > COLORADO </ stateOrCountryDescription >

< zipCode > 80112 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > AZ </ state >

< description > ARIZONA </ description >

< state > CA </ state >

< description > CALIFORNIA </ description >

< state > CO </ state >

< description > COLORADO </ description >

< state > DC </ state >

< description > DISTRICT OF COLUMBIA </ description >

< state > IL </ state >

< description > ILLINOIS </ description >

< state > KS </ state >

< description > KANSAS </ description >

< state > ME </ state >

< description > MAINE </ description >

< state > MN </ state >

< description > MINNESOTA </ description >

< state > NH </ state >

< description > NEW HAMPSHIRE </ description >

< state > NJ </ state >

< description > NEW JERSEY </ description >

< state > SD </ state >

< description > SOUTH DAKOTA </ description >

< state > TX </ state >

< description > TEXAS </ description >

< state > VA </ state >

< description > VIRGINIA </ description >

</ statesOfSolicitationList >

</ recipient >

</ salesCompensationList >

- < offeringSalesAmounts >

< totalOfferingAmount > 2200000 </ totalOfferingAmount >

< totalAmountSold > 2200000 </ totalAmountSold >

< totalRemaining > 0 </ totalRemaining >

</ offeringSalesAmounts >

- < investors >

< hasNonAccreditedInvestors > false </ hasNonAccreditedInvestors >

< numberNonAccreditedInvestors > 0 </ numberNonAccreditedInvestors >

< totalNumberAlreadyInvested > 58 </ totalNumberAlreadyInvested >

</ investors >

- < salesCommissionsFindersFees >

- < salesCommissions >

< dollarAmount > 154000 </ dollarAmount >

</ salesCommissions >

- < findersFees >

< dollarAmount > 0 </ dollarAmount >

</ findersFees >

< clarificationOfResponse > Pursuant to the placement agency agreement, the placement agent received commissions equal to 6.5% of the gross proceeds of the offering plus a non-accountable expense reimbursement of 0.5% of the gross proceeds of the offering. </ clarificationOfResponse >

</ salesCommissionsFindersFees >

- < useOfProceeds >

- < grossProceedsUsed >

< dollarAmount > 0 </ dollarAmount >

</ grossProceedsUsed >

</ useOfProceeds >

- < signatureBlock >

- < signature >

< issuerName > Sensus Healthcare, Inc. </ issuerName >

< signatureName > /s/ Joseph C. Sardano </ signatureName >

< nameOfSigner > Joseph C. Sardano </ nameOfSigner >

< signatureTitle > Chief Executive Officer </ signatureTitle >

< signatureDate > 2016-01-04 </ signatureDate >

</ signature >

</ signatureBlock >

</ offeringData >

</ edgarSubmission >