0001628280-19-001776.txt : 20190222 0001628280-19-001776.hdr.sgml : 20190222 20190222170245 ACCESSION NUMBER: 0001628280-19-001776 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: Harrison Danika R CENTRAL INDEX KEY: 0001547535 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38815 FILM NUMBER: 19626526 MAIL ADDRESS: STREET 1: C/O ZELTIQ AESTHETICS, INC. STREET 2: 4410 ROSEWOOD DRIVE CITY: PLEASANTON STATE: CA ZIP: 94588 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_155087294992838.xml FORM 3 X0206 3 2019-02-19 0 0001548187 Soliton, Inc. SOLY 0001547535 Harrison Danika R 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 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/ Danika Harrison 2019-02-19