0001628280-19-001778.txt : 20190222
0001628280-19-001778.hdr.sgml : 20190222
20190222170405
ACCESSION NUMBER: 0001628280-19-001778
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190219
FILED AS OF DATE: 20190222
DATE AS OF CHANGE: 20190222
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KLEMP WALTER V
CENTRAL INDEX KEY: 0000938419
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38815
FILM NUMBER: 19626544
MAIL ADDRESS:
STREET 1: 1415 WEST LOOP NORTH
CITY: HOUSTON
STATE: TX
ZIP: 77055
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Soliton, Inc.
CENTRAL INDEX KEY: 0001548187
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 364729076
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1225 NORTH LOOP WEST, STE. 725
CITY: HOUSTON
STATE: TX
ZIP: 77008
BUSINESS PHONE: 713-305-5041
MAIL ADDRESS:
STREET 1: 1225 NORTH LOOP WEST, STE. 725
CITY: HOUSTON
STATE: TX
ZIP: 77008
3
1
wf-form3_155087302532393.xml
FORM 3
X0206
3
2019-02-19
0
0001548187
Soliton, Inc.
SOLY
0000938419
KLEMP WALTER V
C/O SOLITON, INC. 5304 ASHBROOK DRIVE
HOUSTON
TX
77081
1
0
0
0
Common Stock
425000
D
Option to purchase common stock (right to buy)
1.75
2028-06-18
Common Stock
725000.0
D
Option to purchase common stock (right to buy)
1.75
2029-02-05
Common Stock
84500.0
D
Warrant to purchase common stock (right to buy)
1.75
2018-10-19
2023-10-19
Common Stock
11512.0
D
Warrant to purchase common stock (right to buy)
1.75
2018-10-30
2023-10-30
Common Stock
8634.0
D
Warrant to purchase common stock (right to buy)
1.75
2018-11-15
2023-11-15
Common Stock
7771.0
D
The options set forth in this table vest in four equal annual installments beginning on the first anniversary of the issuance date, or June 18, 2018, subject to the grantee's continued service on each vesting date.
The options set forth in this table vest in four equal quarterly installments beginning on the issuance date, or February 5, 2019, subject to the grantee's continued service on each vesting date.
/s/ Walter Klemp
2019-02-19