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