SEC Form 4 · accession 0001213900-18-000147
MYOMO, INC. · MYO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Ralph A Goldwasser
Officer — Chief Financial Officer
Period of report
Jan 2, 2018
Accepted (ET)
Jan 4, 2018 · 8:40 pm EST
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 | Jan 2, 2018 | A | 8,219 | — | A | 48,833 | D | |
| Common Stock | Jan 2, 2018 | F | 3,511 | $3.65 | D | 45,322 | D | |
| Common StockF3 | Jan 2, 2018 | A | 17,500 | — | A | 62,822 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F4 | $3.65 | Jan 2, 2018 | A | 40,000 | A | — | — | Common Stock | 40,000 | 40,000 | D |
Explanation of responses
- F1Represents grant of Restricted Stock Units under the Issuer's 2016 Equity Incentive Plan, each representing a contingent right to receive one share of the Issuer's common stock. Such Restricted Stock Units vested in full on the date of grant.
- F2Vesting transaction: Shares surrendered to the Issuer solely to cover taxes associated with vesting of restricted stock units described in footnote (1).
- F3Represents grant of Restricted Stock Units under the Issuer's 2016 Equity Incentive Plan, each representing a contingent right to receive one share of the Issuer's common stock. Such Restricted Stock Units vest in quarterly installments over the next two years.
- F4This stock option shall vest in 24 equal monthly installments over the next two years.