0001235802-21-000118.txt : 20210913
0001235802-21-000118.hdr.sgml : 20210913
20210913162513
ACCESSION NUMBER: 0001235802-21-000118
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210910
FILED AS OF DATE: 20210913
DATE AS OF CHANGE: 20210913
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dube Joel F.
CENTRAL INDEX KEY: 0001681006
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38740
FILM NUMBER: 211249957
MAIL ADDRESS:
STREET 1: 100 DOMAIN DRIVE
CITY: EXETER
STATE: NH
ZIP: 03833
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VAPOTHERM INC
CENTRAL INDEX KEY: 0001253176
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 100 DOMAIN DRIVE
CITY: EXETER
STATE: NH
ZIP: 03833
BUSINESS PHONE: 603-658-0411
MAIL ADDRESS:
STREET 1: 100 DOMAIN DRIVE
CITY: EXETER
STATE: NH
ZIP: 03833
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2021-09-10
0
0001253176
VAPOTHERM INC
VAPO
0001681006
Dube Joel F.
100 DOMAIN DRIVE
EXETER
NH
03833
0
1
0
0
Chief Accounting Officer
Common Stock
2021-09-10
4
M
0
416
12.16
A
4516
D
Common Stock
2021-09-10
4
M
0
580
12.28
A
5096
D
Common Stock
2021-09-10
4
S
0
996
29.1
D
4100
D
Stock Option (right to buy)
12.16
2021-09-10
4
M
0
416
0
D
2030-01-01
Common Stock
416
4584
D
Stock Option (right to buy)
12.28
2021-09-10
4
M
0
580
0
D
2030-01-20
Common Stock
580
6420
D
Includes 4,100 shares that will be issued over time upon vesting pursuant to restricted stock units granted under the Vapotherm, Inc. 2018 Equity Incentive Plan.
This option is eligible to vest as to 25% of the underlying shares on January 1, 2021, and thereafter, as to the remaining 75% of underlying shares, in 36 monthly installments, provided that the Reporting Person continues to serve as an employee or other service provider to the Issuer on each vesting date and otherwise subject to the Company's applicable equity incentive plan.
This option is eligible to vest as to 25% of the underlying shares on December 2, 2020, and thereafter, as to the remaining 75% of underlying shares, in 36 monthly installments, provided that the Reporting Person continues to serve as an employee or other service provider to the Issuer on each vesting date and otherwise subject to the Company's applicable equity incentive plan.
/s/ Adrain Bryant, as Attorney In Fact
2021-09-13