0001437749-21-027826.txt : 20211203 0001437749-21-027826.hdr.sgml : 20211203 20211203160615 ACCESSION NUMBER: 0001437749-21-027826 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211201 FILED AS OF DATE: 20211203 DATE AS OF CHANGE: 20211203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lee A Jones CENTRAL INDEX KEY: 0001374449 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34839 FILM NUMBER: 211470020 BUSINESS ADDRESS: STREET 1: 54 LOCKE LAKE RD CITY: FRIDLEY STATE: MN ZIP: 55432 BUSINESS PHONE: 612-961-2956 MAIL ADDRESS: STREET 1: 54 LOCKE LAKE RD CITY: FRIDLEY STATE: MN ZIP: 55432 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 2021-12-01 0001488917 Electromed, Inc. ELMD 0001374449 Lee A Jones 500 SIXTH AVENUE NW NEW PRAGUE MN 56071 1 Common Stock 2021-12-01 4 A 0 3000 0 A 25183 D Restricted Stock scheduled to vest on June 1, 2022, unless earlier accelerated or terminated pursuant to their terms. /s/ Joshua L. Colburn, Attorney-in-Fact 2021-12-03