0001437749-19-017098.txt : 20190819
0001437749-19-017098.hdr.sgml : 20190819
20190819155900
ACCESSION NUMBER: 0001437749-19-017098
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20190813
FILED AS OF DATE: 20190819
DATE AS OF CHANGE: 20190819
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ERB JOHN L
CENTRAL INDEX KEY: 0001213867
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34839
FILM NUMBER: 191036437
MAIL ADDRESS:
STREET 1: C/O VASCULAR SOLUTIONS, INC.
STREET 2: 6464 SYCAMORE COURT N.
CITY: MINNEAPOLIS,
STATE: MN
ZIP: 55369
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Electromed, Inc.
CENTRAL INDEX KEY: 0001488917
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 411732920
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 500 SIXTH AVENUE NW
CITY: NEW PRAGUE
STATE: MN
ZIP: 56071
BUSINESS PHONE: 952-758-9299
MAIL ADDRESS:
STREET 1: 500 SIXTH AVENUE NW
CITY: NEW PRAGUE
STATE: MN
ZIP: 56071
3
1
rdgdoc.xml
FORM 3
X0206
3
2019-08-13
1
0001488917
Electromed, Inc.
ELMD
0001213867
ERB JOHN L
500 SIXTH STREET NW
NEW PRAGUE
MN
56071
1
Exhibit List: Exhibit 24-Power of Attorney
No securities are beneficially owned.
/s/ Joshua L. Colburn, Attorney-in-Fact
2019-08-19
EX-24
2
erbpoa.txt
POWER OF ATTORNEY
I, John L. Erb, hereby authorize and designate each of Kathleen S.
Skarvan, Jeremy T. Brock, Joshua L. Colburn, Ryan R. Woessner,
and Amra Hoso signing singly, as my true and lawful attorney-in-fact
to:
(1) prepare and execute for and on my behalf, in my capacity as
an officer and/or director of Electromed, Inc. (the "Company"), a Form ID and
Forms 3, 4 and 5 in accordance with Section 16(a) of the Securities Exchange
Act of 1934 (the "Exchange Act") and the rules and regulations promulgated
thereunder and other forms or reports on my behalf as may be required to be
filed in connection with my ownership, acquisition, or disposition of
securities of the Company, including Form 144;
(2) do and perform any and all acts for and on my behalf that may
be necessary or desirable to complete and execute any such Form ID, Form 3, 4
or 5 or Form 144, and any amendments to any of the foregoing, and timely file
any such form with the Securities and Exchange Commission and any stock
exchange or similar authority; and
(3) take any other action of any type whatsoever in connection
with the foregoing which, in the opinion of such attorney-in-fact, may be to
my benefit, in my best interest, or legally required of me, it being
understood that the statements executed by such attorney-in-fact on my behalf
pursuant to this Power of Attorney shall be in such form and shall contain
such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
I hereby further grant to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and
powers herein granted, as fully to all intents and purposes as I might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this Power of Attorney and the rights and powers herein
granted. I hereby acknowledge that the foregoing attorneys-in-fact, in
serving in such capacity at my request, are not assuming, nor is the Company
assuming, any of my responsibilities to comply with Section 16 of the Exchange
Act or Rule 144 under the Securities Act of 1933, as amended (the "Securities
Act").
This Power of Attorney shall remain in full force and effect until I am
no longer required to file Form ID or Forms 3, 4 and 5 or Form 144 with
respect to my holdings of and transactions in securities issued by the
Company, unless earlier revoked by me in a signed writing delivered to the
foregoing attorneys-in-fact. Notwithstanding the foregoing, if any such
attorney-in-fact hereafter ceases to be at least one of the following: (i) an
employee of the Company, or (ii) a partner or employee of Faegre Baker Daniels
LLP, then this Power of Attorney shall be automatically revoked solely as to
such individual, immediately upon such cessation, without any further action
on my part.
I hereby revoke all previous Powers of Attorney that have been granted by
me in connection with my reporting obligations, if any, under Section 16 of
the Exchange Act and Rule 144 under the Securities Act with respect to my
holdings of and transactions in securities issued by the Company.
IN WITNESS WHEREOF, I have caused this Power of Attorney to be duly
executed as of this 14th day of August, 2019.
/s/ John L. Erb