0001213900-18-000144.txt : 20180104 0001213900-18-000144.hdr.sgml : 20180104 20180104203842 ACCESSION NUMBER: 0001213900-18-000144 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180102 FILED AS OF DATE: 20180104 DATE AS OF CHANGE: 20180104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mendelsohn Davie CENTRAL INDEX KEY: 0001681079 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38109 FILM NUMBER: 18511854 MAIL ADDRESS: STREET 1: C/O MYOMO, INC. STREET 2: ONE BROADWAY, 14TH FLOOR CITY: CAMBRIDGE STATE: MA ZIP: 02142 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MYOMO INC CENTRAL INDEX KEY: 0001369290 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE BROADWAY STREET 2: 14TH FLOOR CITY: CAMBRIDGE STATE: MA ZIP: 02142 BUSINESS PHONE: 617-996-9058 MAIL ADDRESS: STREET 1: ONE BROADWAY STREET 2: 14TH FLOOR CITY: CAMBRIDGE STATE: MA ZIP: 02142 4 1 f4010218mendelsohn_myomo.xml OWNERSHIP DOCUMENT X0306 4 2018-01-02 0 0001369290 MYOMO INC MYO 0001681079 Mendelsohn Davie C/O MYOMO, INC. ONE BROADWAY, 14TH FLOOR CAMBRIDGE MA 02142 0 1 0 0 VP, Sales Common Stock 2018-01-02 4 A 0 6575 A 24280 D Common Stock 2018-01-02 4 F 0 2942 3.65 D 21338 D Stock Option (Right to Buy) 3.65 2018-01-02 4 A 0 20000 0 A Common Stock 20000 20000 D Represents grant of Restricted Stock Units under the Issuer's 2016 Equity Incentive Plan, each representing a contingent right to receive one share of the Issuer's common stock. Such Restricted Stock Units vested in full on the date of grant. Vesting transaction: Shares surrendered to the Issuer solely to cover taxes associated with vesting of restricted stock units described in footnote (1). This stock option shall vest in 24 equal monthly installments over the next two years. /s/ Shawn Burke, Attorney in Fact 2018-01-04