0001437749-18-012942.txt : 20180703
0001437749-18-012942.hdr.sgml : 20180703
20180703163304
ACCESSION NUMBER: 0001437749-18-012942
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180701
FILED AS OF DATE: 20180703
DATE AS OF CHANGE: 20180703
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SKARVAN KATHLEEN
CENTRAL INDEX KEY: 0001266296
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34839
FILM NUMBER: 18937835
MAIL ADDRESS:
STREET 1: 40 WEST HIGHLAND PARK DR NE
CITY: HUTCHINSON
STATE: MN
ZIP: 55350
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
4
1
rdgdoc.xml
SKARVAN FORM 4
X0306
4
2018-07-01
0001488917
Electromed, Inc.
ELMD
0001266296
SKARVAN KATHLEEN
500 SIXTH STREET NW
NEW PRAGUE
MN
56071
1
1
President and CEO
Common Stock
2018-07-01
4
A
0
20000
0
A
108989
D
Stock Option (right to buy)
5.42
2018-07-01
4
A
0
40000
0
A
2028-07-01
Common Stock
40000
40000
D
Stock options scheduled to vest in substantially equal increments on each of June 30, 2019, 2020 and 2021.
/s/ Joshua L. Colburn, Attorney-in-Fact
2018-07-03