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