0001209191-21-055888.txt : 20210914
0001209191-21-055888.hdr.sgml : 20210914
20210914161019
ACCESSION NUMBER: 0001209191-21-055888
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210910
FILED AS OF DATE: 20210914
DATE AS OF CHANGE: 20210914
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BUCKMAN PAUL
CENTRAL INDEX KEY: 0001215243
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38445
FILM NUMBER: 211252502
MAIL ADDRESS:
STREET 1: 12988 VALLEY VIEW RD
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55402
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HELIUS MEDICAL TECHNOLOGIES, INC.
CENTRAL INDEX KEY: 0001610853
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 364787690
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 642 NEWTOWN YARDLEY ROAD
CITY: NEWTOWN
STATE: PA
ZIP: 18940
BUSINESS PHONE: 215-944-6104
MAIL ADDRESS:
STREET 1: 642 NEWTOWN YARDLEY ROAD
CITY: NEWTOWN
STATE: PA
ZIP: 18940
FORMER COMPANY:
FORMER CONFORMED NAME: HELIUS MEDICAL TECHNOLOGIES, INC
DATE OF NAME CHANGE: 20180517
FORMER COMPANY:
FORMER CONFORMED NAME: HELIUS MEDICAL TECHNOLOGIES, INC.
DATE OF NAME CHANGE: 20140613
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-09-10
0
0001610853
HELIUS MEDICAL TECHNOLOGIES, INC.
HSDT
0001215243
BUCKMAN PAUL
C/O HELIUS MEDICAL TECHNOLOGIES INC.
642 NEWTOWN YARDLEY ROAD SUITE 100
NEWTOWN
PA
18940
1
0
0
0
Class A Common Stock
2021-09-10
4
A
0
721
0.00
A
721
D
Stock Option (Right to Buy)
14.90
2021-09-10
4
A
0
2547
0.00
A
2031-09-09
Class A Common Stock
2547
2547
D
Grant to the Reporting Person of restricted stock units ("RSUs") under the Issuer's 2018 Omnibus Incentive Plan. The RSUs vest in a series of twelve (12) successive equal monthly installments on the last day of each month so that all of the RSUs will be vested on the one-year anniversary of the grant date, subject to the Reporting Person's continued service through each applicable vesting period.
Grant to the Reporting Person of a stock option under the Issuer's 2018 Omnibus Incentive Plan. The options vest in a series of twelve (12) successive equal monthly installments on the last day of each month so that all of the options will be vested on the one-year anniversary of the grant date, subject to the Reporting Person's continued service through each applicable vesting period.
/s/ Allison Northup, Attorney-in-Fact
2021-09-14