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