0001437749-22-028442.txt : 20221205 0001437749-22-028442.hdr.sgml : 20221205 20221205173444 ACCESSION NUMBER: 0001437749-22-028442 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221201 FILED AS OF DATE: 20221205 DATE AS OF CHANGE: 20221205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Summers Andrew CENTRAL INDEX KEY: 0001571767 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34839 FILM NUMBER: 221445999 MAIL ADDRESS: STREET 1: 601 JEFFERSON STREET CITY: HOUSTON STATE: TX ZIP: 77002 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 2022-12-01 0001488917 Electromed, Inc. ELMD 0001571767 Summers Andrew 500 SIXTH AVENUE NW NEW PRAGUE MN 56071 1 Common Stock 2022-12-01 4 A 0 3000 0 A 3000 D Common Stock 323124 I By Summers Value Fund LP Common Stock 198569 I By SVP Deal Fund 1 LP Restricted Stock scheduled to vest on June 1, 2023, unless earlier accelerated or terminated pursuant to their terms. Securities owned directly by Summers Value Fund LP ("Summers Value Fund"). Mr. Summers, as the Managing Member of each of Summers Value Partners GP LLC, the general partner of Summers Value Fund, and Summers Value Partners LLC ("Summers Value Partners"), the investment manager of Summers Value Fund, may be deemed to beneficially own the securities owned directly by Summers Value Fund. Mr. Summers expressly disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. Securities owned directly by SVP Deal Fund 1 LP ("SVP Fund"). Mr. Summers, as the Managing Member of each of SVP Deal Fund 1 GP LLC, the general partner of SVP Fund, and Summers Value Partners, the investment manager of SVP Fund, may be deemed to beneficially own the securities owned directly by SVP Fund. Mr. Summers expressly disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. /s/ Joshua L. Colburn, Attorney-in-Fact 2022-12-05