SEC Form 4 · accession 0001213900-17-006433
MYOMO, INC. · MYO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jonathan Naft
Officer — VP, GENERAL MANAGER
Period of report
Jun 9, 2017
Accepted (ET)
Jun 13, 2017 · 4:44 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 | 5,063 | — | A | 53,165 | D | |
| COMMON STOCKF2 | Jun 9, 2017 | C | 10,949 | — | A | 64,114 | D | |
| COMMON STOCKF3 | Jun 9, 2017 | P$0 | 10,000 | — | A | 74,114 | 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 | 5,063 | D | — | — | COMMON STOCK | 5,063 | 0 | D |
| SERIES B-1 CONVERTIBLE PREFERRED STOCKF2 | — | Jun 9, 2017 | C | 10,949 | D | — | — | COMMON STOCK | 10,949 | 0 | D |
| WARRANTS (RIGHT TO BUY)F3,F4 | $7.50 | Jun 9, 2017 | P | 10,000 | D | — | Jun 9, 2020 | COMMON STOCK | 10,000 | 10,000 | D |
Explanation of responses
- F1The Series A-1 Convertible Preferred Stock converted into common stock 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 upon completion of the Company's initial public offering and has no expiration date.
- F3The 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.
- F4The Warrants are immediately exercisable.