0001209191-19-000662.txt : 20190103 0001209191-19-000662.hdr.sgml : 20190103 20190103105807 ACCESSION NUMBER: 0001209191-19-000662 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190101 FILED AS OF DATE: 20190103 DATE AS OF CHANGE: 20190103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bear Richard CENTRAL INDEX KEY: 0001762242 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37542 FILM NUMBER: 19503963 MAIL ADDRESS: STREET 1: 9062 NE 37TH PLACE CITY: BELLEVUE STATE: WA ZIP: 98004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CRH Medical Corp CENTRAL INDEX KEY: 0001461119 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 57B - 999 CANADA PLACE STREET 2: WORLD TRADE CENTER CITY: VANCOUVER STATE: A1 ZIP: V6C 3E1 BUSINESS PHONE: 604-633-1440 X 1048 MAIL ADDRESS: STREET 1: 57B - 999 CANADA PLACE STREET 2: WORLD TRADE CENTER CITY: VANCOUVER STATE: A1 ZIP: V6C 3E1 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2019-01-01 0 0001461119 CRH Medical Corp CRHM 0001762242 Bear Richard 9062 NE 37TH PLACE BELLEVUE WA 98004 0 1 0 0 Chief Financial Officer Common Shares 335000 D Stock Option (Right to buy) 0.70 2024-01-24 Common Shares 350000 D Restricted Share Units 0.00 2021-12-08 Common Shares 90000 D Restricted Share Units 0.00 2026-12-08 Common Shares 550000 D Stock Options are 100% vested and can be exercised at any time prior to expiration Restricted Share Units vest annually each December 8th Each Restricted Share Unit represents the right to receive one Common Share upon settlement Performance Based Restricted Share Units vest when performance criteria is met /s/ Richard Bear 2019-01-02