0001493152-21-016058.txt : 20210702 0001493152-21-016058.hdr.sgml : 20210702 20210702163042 ACCESSION NUMBER: 0001493152-21-016058 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210630 FILED AS OF DATE: 20210702 DATE AS OF CHANGE: 20210702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Koby Michael CENTRAL INDEX KEY: 0001789574 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10986 FILM NUMBER: 211070599 MAIL ADDRESS: STREET 1: C/O 1315 CAPITAL STREET 2: 2929 WALNUT STREET, SUITE 1240 CITY: PHILADELPHIA STATE: PA ZIP: 19104 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MISONIX INC CENTRAL INDEX KEY: 0000880432 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY APPARATUS & FURNITURE [3821] IRS NUMBER: 112148932 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 1938 NEW HIGHWAY CITY: FARMINGDALE STATE: NY ZIP: 11735 BUSINESS PHONE: (631) 694-9555 MAIL ADDRESS: STREET 1: 1938 NEW HIGHWAY CITY: FARMINGDALE STATE: NY ZIP: 11735 FORMER COMPANY: FORMER CONFORMED NAME: MEDSONIC INC DATE OF NAME CHANGE: 19930328 4 1 ownership.xml X0306 4 2021-06-30 0 0000880432 MISONIX INC MSON 0001789574 Koby Michael C/O MISONIX, INC. 1938 NEW HIGHWAY FARMINGDALE NY 11735 1 0 0 0 Stock Option 22.18 2021-06-30 4 A 0 15000 0 A 2031-06-29 Common Stock 15000 15000 I By 1315 Capital Management, LLC Award of Stock Options under the Misonix 2017 Equity Incentive Plan. Stock Options vest on June 30, 2022. The reporting person is a member of 1315 Capital Management, LLC. Under the Amended and Restated Limited Liability Company Agreement of 1315 Capital Management, LLC, the reporting person is deemed to hold the reported option for the benefit of 1315 Capital, LLC ("1315"), and must exercise the option solely upon the direction of 1315, which is entitled to the shares issued upon exercise. 1315 may be deemed the indirect beneficial owner of the option, and the reporting person may be deemed the indirect beneficial owner of the option through his indirect interest in 1315. The reporting person disclaims beneficial ownership of the option except to the extent of his pecuniary interest therein. /s/ Michael Koby 2021-07-02