Anthony Benedict Petrelli Form 3 Sensus Healthcare / Anthony Benedict Petrelli ownership change

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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^*

Petrelli Anthony Benedict

(Last) (First) (Middle)

6250 RAIN DANCE TRAIL

(Street)

LITTLETON CO 80125

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
07/21/2016

3. Issuer Name and Ticker or Trading Symbol
Sensus Healthcare, Inc. [ SRTS ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
	Officer (give title below)	Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	12,013	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Common Stock Warrants	02/01/2013	02/01/2018	Common Stock	26,614	4.55	D
Unit Warrants(1)	06/08/2017	06/08/2021	Common Stock(1)	23,715	6.75(2)	D
Unit Warrants(1)	06/08/2017	06/08/2021	Warrants(1)	23,715	6.75(2)	D

Explanation of Responses:

1. In connection with its initial public offering, Sensus Healthcare, Inc. issued to the reporting person warrants to acquire 23,715 units, each consisting of (i) one share of common stock and (ii) one warrant to purchase one share of common stock at an exercise price of $6.75 per share. The warrants underlying the units are exercisable at any time, and from time to time, in whole or in part, during the four-year period commencing on June 8, 2017. The warrants to acquire each component of the units underlying the warrants are reported separately in accordance with instruction 5(c)(iv) of Form 3.

2. Represents the warrant exercise price for the underlying units, each of which consists of (i) one share of common stock and (ii) one warrant to acquire one share of common stock at an exercise price of $6.75 per share.

Remarks:

	/s/ Gustav L. Schmidt, attorney in fact	08/01/2016
	** Signature of Reporting Person	Date
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 5 (b)(v).
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