SEC Form 4 · accession 0001437749-17-012253
Electromed, Inc. · ELMD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kathleen Skarvan
Officer — President and CEO · Director
Period of report
Jul 1, 2017
Accepted (ET)
Jul 5, 2017 · 5:48 pm EDT
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 Stock | Jul 1, 2017 | A | 20,000 | $0.00 | A | 88,989 | 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)F1 | $5.53 | Jul 1, 2017 | A | 40,000 | A | — | Jul 1, 2027 | Common Stock | 40,000 | 40,000 | D |
Explanation of responses
- F1Stock option scheduled to vest in substantially equal increments on each of June 30, 2018, 2019 and 2020.