0001437749-23-019426.txt : 20230705
0001437749-23-019426.hdr.sgml : 20230705
20230705192137
ACCESSION NUMBER: 0001437749-23-019426
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230701
FILED AS OF DATE: 20230705
DATE AS OF CHANGE: 20230705
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cunniff James L.
CENTRAL INDEX KEY: 0001983687
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34839
FILM NUMBER: 231071529
MAIL ADDRESS:
STREET 1: 500 SIXTH AVE NW
CITY: NEW PRAGUE
STATE: MN
ZIP: 56071
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
X0407
4
2023-07-01
0001488917
Electromed, Inc.
ELMD
0001983687
Cunniff James L.
500 SIXTH AVENUE NW
NEW PRAGUE
MN
56071
1
1
CEO and President
0
Employee Stock Option (right to buy)
10.71
2023-07-01
4
A
0
175000
0
A
2033-06-30
Common Stock
175000
175000
D
Performance Stock Units
2023-07-01
4
A
0
87500
0
A
2027-06-30
Common Stock
87500
87500
D
Performance Stock Units
2023-07-01
4
A
0
87500
0
A
2027-06-30
Common Stock
87500
87500
D
Exercisable with respect to 43,750 shares on September 30, 2024, and in twelve substantially equal increments on the last day of each subsequent quarter.
Each performance stock unit represents a contingent right to receive one share of common stock upon achieving a total shareholder return in excess of 50% as of the end of any fiscal quarter on or before the expiration date, calculated using three-month volume-weighted average closing prices in accordance with the underlying agreement.
Each performance stock unit represents a contingent right to receive one share of common stock upon achieving a total shareholder return in excess of 100% as of the end of any fiscal quarter on or before the expiration date, calculated using three-month volume-weighted average closing prices in accordance with the underlying agreement.
/s/ Joshua L. Colburn, Attorney-in-Fact
2023-07-05