0001628280-23-006079.txt : 20230302 0001628280-23-006079.hdr.sgml : 20230302 20230302164700 ACCESSION NUMBER: 0001628280-23-006079 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230301 FILED AS OF DATE: 20230302 DATE AS OF CHANGE: 20230302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Roman David CENTRAL INDEX KEY: 0001843669 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39430 FILM NUMBER: 23699833 MAIL ADDRESS: STREET 1: ACUTUS MEDICAL, INC. STREET 2: 2210 FARADAY AVE, SUITE 100 CITY: CARLSBAD STATE: CA ZIP: 92008 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Acutus Medical, Inc. CENTRAL INDEX KEY: 0001522860 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 451306615 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2210 FARADAY AVE STREET 2: SUITE 100 CITY: CARLSBAD STATE: CA ZIP: 92008 BUSINESS PHONE: 442-232-6080 MAIL ADDRESS: STREET 1: 2210 FARADAY AVE STREET 2: SUITE 100 CITY: CARLSBAD STATE: CA ZIP: 92008 4 1 wf-form4_167779358378738.xml FORM 4 X0306 4 2023-03-01 0 0001522860 Acutus Medical, Inc. AFIB 0001843669 Roman David C/O ACUTUS MEDICAL, INC. 2210 FARADAY AVE., SUITE 100 CARLSBAD CA 92008 0 1 0 0 President & CEO FORM 4 2023-03-01 4 A 0 135000 0 A 383159 D FORM 4 1.41 2023-03-01 4 A 0 135000 0 A 2024-03-01 2033-03-01 FORM 4 135000.0 135000 D Common Stock Represents restricted stock units that vest in two equal installments on each of the first two anniversaries of the vesting commencement date, subject to continued service through each such vesting dates. Stock Options (Right to Buy) One-half of the shares of common stock subject to the Option will be scheduled to vest on the first anniversary of the vesting commencement date, and one twenty-fourth (1/24th) of the shares subject to the option will be scheduled to vest in twelve equal monthly installments thereafter, subject to continued service through each such vesting date. Tom Sohn 2023-03-02