SEC Form 4 · accession 0001213900-17-006429
MYOMO, INC. · MYO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ralph A Goldwasser
Officer — CHIEF FINANCIAL OFFICER
Period of report
Jun 9, 2017
Accepted (ET)
Jun 13, 2017 · 4:42 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001369290
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| COMMON STOCKF1 | Jun 9, 2017 | C | 6,076 | — | A | 15,614 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SERIES A-1 CONVERTIBLE PREFERRED STOCKF1 | — | Jun 9, 2017 | C | 6,076 | D | — | — | COMMON STOCK | 6,076 | 0 | D |
Explanation of responses
- F1The Series A-1 Convertible Preferred Stock converted into common stock on a 1-for-1 basis upon completion of the Company's initial public offering and has no expiration date.