0001437749-23-005530.txt : 20230306
0001437749-23-005530.hdr.sgml : 20230306
20230306160709
ACCESSION NUMBER: 0001437749-23-005530
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230227
FILED AS OF DATE: 20230306
DATE AS OF CHANGE: 20230306
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: 23708946
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
2023-02-27
0001488917
Electromed, Inc.
ELMD
0001266296
SKARVAN KATHLEEN
500 SIXTH AVENUE NW
NEW PRAGUE
MN
56071
1
1
President and CEO
Common Stock
2023-02-27
4
M
0
15000
1.31
A
158556
D
Common Stock
2023-02-27
4
M
0
50000
1.40
A
208556
D
Common Stock
2023-02-27
4
F
0
24815
13.50
D
183741
D
Common Stock
2023-02-27
4
G
0
40185
0
D
143556
D
Common Stock
85934
I
By Trust
Employee Stock Option (right to buy)
1.31
2023-02-27
4
M
0
15000
0
D
2023-06-30
Common Stock
15000
0
D
Employee Stock Option (right to buy)
1.40
2023-02-27
4
M
0
50000
0
D
2024-06-30
Common Stock
50000
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
2023-03-06