0001140361-22-020576.txt : 20220525
0001140361-22-020576.hdr.sgml : 20220525
20220525163120
ACCESSION NUMBER: 0001140361-22-020576
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220523
FILED AS OF DATE: 20220525
DATE AS OF CHANGE: 20220525
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MATHIESEN JEFFREY S
CENTRAL INDEX KEY: 0001296853
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38445
FILM NUMBER: 22963337
MAIL ADDRESS:
STREET 1: 43334 SEVEN MILE RD.
STREET 2: SUITE 1000
CITY: NORTHVILLE
STATE: MI
ZIP: 48167
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HELIUS MEDICAL TECHNOLOGIES, INC.
CENTRAL INDEX KEY: 0001610853
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 364787690
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 642 NEWTOWN YARDLEY ROAD
CITY: NEWTOWN
STATE: PA
ZIP: 18940
BUSINESS PHONE: 215-944-6104
MAIL ADDRESS:
STREET 1: 642 NEWTOWN YARDLEY ROAD
CITY: NEWTOWN
STATE: PA
ZIP: 18940
FORMER COMPANY:
FORMER CONFORMED NAME: HELIUS MEDICAL TECHNOLOGIES, INC
DATE OF NAME CHANGE: 20180517
FORMER COMPANY:
FORMER CONFORMED NAME: HELIUS MEDICAL TECHNOLOGIES, INC.
DATE OF NAME CHANGE: 20140613
4
1
form4.xml
FORM 4
X0306
4
2022-05-23
0001610853
HELIUS MEDICAL TECHNOLOGIES, INC.
HSDT
0001296853
MATHIESEN JEFFREY S
C/O HELIUS MEDICAL TECHNOLOGIES, INC.
642 NEWTOWN YARDLEY ROAD, SUITE 100
NEWTOWN
PA
18940
true
CFO and Treasurer
Stock Option (Right to Buy)
4.68
2022-05-23
4
A
0
37000
0
A
2032-05-22
Common Stock
37000
37000
D
Grant to the Reporting Person of a stock option to purchase 37,000 shares of common stock under the Issuer's 2022 Equity Incentive Plan. Vests as to 6,170 shares on June 30, 2022, with the remainder vesting in 10 equal amounts on the last day of each fiscal quarter thereafter.
/s/ Jeffrey Mathiesen
2022-05-25