0001645383-18-000005.txt : 20180205 0001645383-18-000005.hdr.sgml : 20180205 20180205125627 ACCESSION NUMBER: 0001645383-18-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180201 FILED AS OF DATE: 20180205 DATE AS OF CHANGE: 20180205 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: 18573528 MAIL ADDRESS: STREET 1: C/O SEVIN ROSEN FUNDS STREET 2: 13455 NOEL RD #1670 CITY: DALLAS STATE: TX ZIP: 75240 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 primary_doc.xml PRIMARY DOCUMENT X0306 4 2018-02-01 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 Restricted Stock Units 2018-02-01 4 A 0 20000 A 20000 D Restricted Stock Unit ("RSU") award granted February 1, 2018. 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 February 1, 2019. C.Leitner by power of attny 2018-02-05