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