SEC Form 4 · accession 0001437749-16-042930
Electromed, Inc. · ELMD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stan K. Erickson
Director
Period of report
Dec 1, 2016
Accepted (ET)
Dec 5, 2016 · 4:35 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001488917
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 1, 2016 | A | 2,611 | $0.00 | A | 11,183 | D | |
| Common StockF2 | Dec 1, 2016 | P | 2,634 | $3.7833 | A | 13,817 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Restricted Stock scheduled to vest on May 31, 2017, unless earlier accelerated or terminated pursuant to their terms.
- F2Reflects the weighted average price of 2,634 shares of common stock of Electromed, Inc. purchased by the reporting person in multiple transactions on December 1, 2016 with purchase prices ranging from $3.77 to $3.80 per share. The reporting person undertakes to provide upon request by the U.S. Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.