0000899243-19-025963.txt : 20191025 0000899243-19-025963.hdr.sgml : 20191025 20191025151913 ACCESSION NUMBER: 0000899243-19-025963 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191023 FILED AS OF DATE: 20191025 DATE AS OF CHANGE: 20191025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lewis Scott Richard CENTRAL INDEX KEY: 0001757430 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-32929 FILM NUMBER: 191169655 MAIL ADDRESS: STREET 1: 2016 BECKETT DRIVE CITY: EL DORADO HILLS STATE: CA ZIP: 95762 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MoSys, Inc. CENTRAL INDEX KEY: 0000890394 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 770291941 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2309 BERING DRIVE CITY: SAN JOSE STATE: CA ZIP: 95131 BUSINESS PHONE: 408 418 7500 MAIL ADDRESS: STREET 1: 2309 BERING DRIVE CITY: SAN JOSE STATE: CA ZIP: 95131 FORMER COMPANY: FORMER CONFORMED NAME: MONOLITHIC SYSTEM TECHNOLOGY INC DATE OF NAME CHANGE: 19960613 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-10-23 0 0000890394 MoSys, Inc. MOSY 0001757430 Lewis Scott Richard 2309 BERING DRIVE SAN JOSE CA 95131 1 0 0 0 Restricted Stock Units 2019-10-23 4 A 0 1000 A 2000 D Restricted Stock Unit ("RSU") award granted on October 23, 2019. Each RSU represents a contingent right to receive one share of the Company's common stock once vested. The entire award vests and becomes non-forfeitable on August 23, 2020, or, if earlier, the next annual meeting of stockholders following October 23, 2019, subject to reporting person's continuous service with the Company. /s/ James Sullivan by power of attorney 2019-10-25