Filing Details

Accession Number:
0000914190-11-000599
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-12-21 15:50:51
Reporting Period:
2011-12-20
Filing Date:
2011-12-21
Accepted Time:
2011-12-21 15:50:51
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1488917 Electromed Inc. ELMD Electromedical & Electrotherapeutic Apparatus (3845) 411732920
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
845212 D. Robert Hansen C/O Electromed, Inc.
500 Sixth Street Nw
New Prague MN 56071
Chief Executive Officer Yes Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Disposition 2011-12-20 8,000 $0.00 571,355 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Warrant $3.50 2018-11-24 35,000 35,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2018-11-24 35,000 35,000 Direct
Footnotes
  1. The reported transaction was a private sale initiated prior to 12/20/11 and was completed by the transfer agent on 12/20/11.
  2. The shares of Electromed, Inc. common stock were exchanged for stock in a private company.
  3. Fully exercisable as to 21,000 shares; 7,000 shares shall become exercisable on November 24 of each of 2012 and 2013.