0001209191-19-037322.txt : 20190614 0001209191-19-037322.hdr.sgml : 20190614 20190614204725 ACCESSION NUMBER: 0001209191-19-037322 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190612 FILED AS OF DATE: 20190614 DATE AS OF CHANGE: 20190614 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Patrick Todd CENTRAL INDEX KEY: 0001762285 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37542 FILM NUMBER: 19900237 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: SERVICES-HEALTH SERVICES [8000] 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-06-12 0 0001461119 CRH Medical Corp CRHM 0001762285 Patrick Todd 9029 NE 36TH STREET BELLEVUE WA 98004 1 0 0 0 Common Shares 2019-06-12 4 M 0 16000 0.00 A 475313 D Common Shares 2019-06-13 4 A 0 20000 0.00 A 495313 D Restricted Share Units 0.00 2019-06-12 4 M 0 16000 0.00 D 2019-06-28 Common Shares 16000 0 D Each Restricted Share Unit represents the right to receive one Common Share upon settlement. Represents 20,000 Common Shares to be issued upon settlement of 20,000 Restricted Share Units granted on June 13, 2019. The Restricted Share Units will expire on the earlier of June 30, 2020 or one day prior to the next Annual General Meeting of the Issuer. Restricted Share Units vest on or before expiration date. /s/ Richard Bear, Attorney-in-fact for Todd Patrick 2019-06-14