0001645383-15-000002.txt : 20150720
0001645383-15-000002.hdr.sgml : 20150720
20150720120254
ACCESSION NUMBER: 0001645383-15-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150716
FILED AS OF DATE: 20150720
DATE AS OF CHANGE: 20150720
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: 3301 OLCOTT STREET
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
BUSINESS PHONE: 408 418 7500
MAIL ADDRESS:
STREET 1: 3301 OLCOTT STREET
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
FORMER COMPANY:
FORMER CONFORMED NAME: MONOLITHIC SYSTEM TECHNOLOGY INC
DATE OF NAME CHANGE: 19960613
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DOMENIK STEPHEN L
CENTRAL INDEX KEY: 0001189256
STATE OF INCORPORATION: TX
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-32929
FILM NUMBER: 15995434
MAIL ADDRESS:
STREET 1: C/O SEVIN ROSEN FUNDS
STREET 2: 13455 NOEL RD #1670
CITY: DALLAS
STATE: TX
ZIP: 75240
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2015-07-16
0
0000890394
MoSys, Inc.
mosy
0001189256
DOMENIK STEPHEN L
C/O SEVIN ROSEN FUNDS
13455 NOEL RD #1670
DALLAS
TX
75240
1
0
0
0
Option to purchase Common Stock
1.7
2015-07-16
4
M
0
40000
1.7
A
2016-07-16
2021-07-16
Common Stock
40000
160000
D
C. Leitner by Power of Attorney
2015-07-20