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