0001209191-22-011221.txt : 20220218 0001209191-22-011221.hdr.sgml : 20220218 20220218161043 ACCESSION NUMBER: 0001209191-22-011221 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220216 FILED AS OF DATE: 20220218 DATE AS OF CHANGE: 20220218 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: 22652825 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 doc4.xml FORM 4 SUBMISSION X0306 4 2022-02-16 0 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 0 1 0 0 CFO and Treasurer Class A Common Stock 2022-02-16 4 A 0 8011 0.00 A 11948 D Grant to the Reporting Person of a stock award under the Issuer's 2018 Omnibus Incentive Plan. /s/ Jeffrey S. Mathiesen 2022-02-18