0001437749-22-022443.txt : 20220914 0001437749-22-022443.hdr.sgml : 20220914 20220914174046 ACCESSION NUMBER: 0001437749-22-022443 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220912 FILED AS OF DATE: 20220914 DATE AS OF CHANGE: 20220914 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: 221243864 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 FORM 4 X0306 4 2022-09-12 0001488917 Electromed, Inc. ELMD 0001266296 SKARVAN KATHLEEN 500 SIXTH AVENUE NW NEW PRAGUE MN 56071 1 1 President and CEO Common Stock 2022-09-12 4 M 0 20000 1.75 A 163556 D Common Stock 2022-09-12 4 F 0 8240 11.46 D 155316 D Common Stock 2022-09-12 4 G 0 11760 0 D 143556 D Common Stock 45749 I By Trust Employee Stock Option (right to buy) 1.75 2022-09-12 4 M 0 20000 0 D 2022-12-02 Common Stock 20000 0 D Transfer of shares to a family trust of which the reporting person serves as a trustee. Fully vested. /s/ Joshua L. Colburn, Attorney-in-Fact 2022-09-14