0001209191-19-000699.txt : 20190103 0001209191-19-000699.hdr.sgml : 20190103 20190103115812 ACCESSION NUMBER: 0001209191-19-000699 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: Patrick Todd CENTRAL INDEX KEY: 0001762285 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37542 FILM NUMBER: 19504136 MAIL ADDRESS: STREET 1: 9029 NE 36TH STREET 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 0001762285 Patrick Todd 9029 NE 36TH STREET BELLEVUE WA 98004 1 0 0 0 Common Shares 459313 D Stock Option (Right to Buy) 0.60 2023-12-12 Common Shares 4687 D Restricted Share Unit 0.00 2019-06-28 Common Shares 16000 D Stock Options are 100% vested and can be exercised at any time Restricted Share Unit vest on or before expiration date Each Restricted Share Unit represents the right to receive one Common Share upon settlement /s/ Richard Bear, Attorney-in-fact for Todd Patrick 2019-01-03