0001628280-19-001774.txt : 20190222 0001628280-19-001774.hdr.sgml : 20190222 20190222170201 ACCESSION NUMBER: 0001628280-19-001774 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190219 FILED AS OF DATE: 20190222 DATE AS OF CHANGE: 20190222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Foster Jonathan P. CENTRAL INDEX KEY: 0001545414 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38815 FILM NUMBER: 19626513 MAIL ADDRESS: STREET 1: 2450 SOUTH SHORE BLVD. STREET 2: SUITE 402 CITY: LEAGUE CITY STATE: TX ZIP: 77573 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Soliton, Inc. CENTRAL INDEX KEY: 0001548187 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 364729076 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1225 NORTH LOOP WEST, STE. 725 CITY: HOUSTON STATE: TX ZIP: 77008 BUSINESS PHONE: 713-305-5041 MAIL ADDRESS: STREET 1: 1225 NORTH LOOP WEST, STE. 725 CITY: HOUSTON STATE: TX ZIP: 77008 3 1 wf-form3_155087290618825.xml FORM 3 X0206 3 2019-02-19 0 0001548187 Soliton, Inc. SOLY 0001545414 Foster Jonathan P. C/O SOLITON, INC. 5304 ASHBROOK DRIVE HOUSTON TX 77081 1 0 0 0 Option to purchase common stock (right to buy) 1.75 2028-06-19 Common Stock 30000.0 D Warrant to purchase common stock (right to buy) 1.75 2018-10-19 2023-10-18 Common Stock 12500.0 D The options set forth in this table vest in four equal annual installments beginning on the first anniversary of the issuance date, or June 19, 2018, subject to the grantee's continued service on the Company's Board of Directors on each vesting date. /s/ Jonathan P. Foster 2019-02-19