SEC Form 4 · accession 0001213900-17-006431

MYOMO, INC. · MYO

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Jun 9, 2017

Accepted (ET)

Jun 13, 2017 · 4:43 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
COMMON STOCK^F1	Jun 9, 2017	C	12,659	—	A	17,971	D
COMMON STOCK^F2	Jun 9, 2017	C	27,377	—	A	45,348	D
COMMON STOCK^F3	Jun 9, 2017	C	16,302	—	A	61,650	D
COMMON STOCK^F4	Jun 9, 2017	P$0	20,000	—	A	81,650	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
SERIES A-1 CONVERTIBLE PREFERRED STOCK^F1	—	Jun 9, 2017	C	12,659	D	—	—	COMMON STOCK	12,659	0	D
SERIES B-1 CONVERTIBLE PREFERRED STOCK^F2	—	Jun 9, 2017	C	27,377	D	—	—	COMMON STOCK	27,377	0	D
8 % SUBORDINATE CONVERTIBLE NOTE^F3	—	Jun 9, 2017	C	16,302	D	—	—	COMMON STOCK	16,302	0	D
WARRANTS (RIGHT TO BUY)^F4,F5	$7.50	Jun 9, 2017	P	20,000	D	—	Jun 9, 2020	COMMON STOCK	20,000	20,000	D

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.
F2The Series B-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.
F3The 8% subordinate convertible note was converted into common stock upon completion of the Company's initial public offering.
F4The Common Stock and Warrants were sold in the form of Units issued by the Company in a private placement at a price of $5.25 per Unit, each Unit consisting of one share of Common Stock and a Warrant to purchase one share of Common Stock at an exercise price of $7.50 per share.
F5The Warrants are immediately exercisable.