SEC Form 4 · accession 0001213900-17-006435

MYOMO, INC. · MYO

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

Reporting owner

Officer — CHIEF EXECUTIVE OFFICER · Director

Period of report

Jun 9, 2017

Accepted (ET)

Jun 13, 2017 · 4:45 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	69,726	—	A	341,054	D
COMMON STOCK^F2	Jun 9, 2017	C	57,489	—	A	398,543	D
COMMON STOCK^F3	Jun 9, 2017	C	21,564	—	A	420,107	D
COMMON STOCK^F4	Jun 9, 2017	P$0	14,000	—	A	434,107	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
SERIES A-1 CONVERTIBLE PREFERRED STOCK^F1	—	Jun 9, 2017	C	69,726	D	—	—	COMMON STOCK	69,726	D
SERIES B-1 CONVERTIBLE PREFERRED STOCK^F2	—	Jun 9, 2017	C	57,489	D	—	—	COMMON STOCK	57,489	D
8 % SUBORDINATE CONVERTIBLE NOTE^F3	—	Jun 9, 2017	C	21,564	D	—	—	COMMON STOCK	21,564	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 at a price of $5.18 per share upon completion of the Company's initial public offering.
F4The Common Stock was acquired in the Company's initial public offering for $7.50 per share.