0001213900-17-012890.txt : 20171204
0001213900-17-012890.hdr.sgml : 20171204
20171204160644
ACCESSION NUMBER: 0001213900-17-012890
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171204
FILED AS OF DATE: 20171204
DATE AS OF CHANGE: 20171204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GUDONIS PAUL R
CENTRAL INDEX KEY: 0001015994
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38109
FILM NUMBER: 171237099
MAIL ADDRESS:
STREET 1: 9 HICKORY ROAD
CITY: MANCHESTER
STATE: MA
ZIP: 01944
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MYOMO INC
CENTRAL INDEX KEY: 0001369290
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: ONE BROADWAY
STREET 2: 14TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02142
BUSINESS PHONE: 617-996-9058
MAIL ADDRESS:
STREET 1: ONE BROADWAY
STREET 2: 14TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02142
4
1
f4120417gudonis_myomo.xml
OWNERSHIP DOCUMENT
X0306
4
2017-12-04
0
0001369290
MYOMO INC
MYO
0001015994
GUDONIS PAUL R
C/O MYOMO, INC.
ONE BROADWAY, 14TH FLOOR
CAMBRIDGE
MA
02142
1
1
0
0
CHIEF EXECUTIVE OFFICER
Common Stock
2017-12-04
4
A
0
10000
2.39
A
444107
D
WARRANT (RIGHT TO BUY)
2.95
2017-12-04
4
P
0
10000
0.01
A
2022-12-04
Common Stock
10000
10000
D
The warrants were issued in conjunction with the Company's follow-on offering and will expire at 11:59 p.m. Eastern Time on December 4, 2022.
/s/ Paul R. Gudonis
2017-12-04