SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Naft Jonathan

(Last) (First) (Middle)
ONE BROADWAY, 14TH FLOOR

(Street)
CAMBRIDGE MA 02142

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/09/2017
3. Issuer Name and Ticker or Trading Symbol
MYOMO INC [ MYO ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VICE PRESIDENT, GM
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
COMMON STOCK 48,102 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
SERIES A-1 CONVERTIBLE PREFERRED (1) (1) COMMON STOCK 5,063 $7.5 D
SERIES B-1 CONVERTIBLE PREFERRED (1) (1) COMMON STOCK 10,949 $7.5 D
STOCK OPTION (RIGHT TO BUY) (2) 07/18/2022 COMMON STOCK 6,250 $0.16 D
STOCK OPTION (RIGHT TO BUY) (3) 09/25/2023 COMMON STOCK 6,064 $0.0016 D
STOCK OPTION (RIGHT TO BUY) (4) 06/29/2026 COMMON STOCK 2,500 $1.0496 D
Explanation of Responses:
1. The Convertible Preferred Stock will automatically convert, on a one-for-one basis, upon the completion of the Company's initial public offering. The Convertible Preferred Stock has no expiration.
2. 25% of the options vest on the first anniversary following the vesting commencement date of July 18, 2012, and the remainder vest ratably on a monthly basis over the 36-month period following the first anniversary of the vesting commencement date, subject to a continued service relationship by the Individual and the Company at that time.
3. The options vest ratably on a monthly basis over the 6-month period following the vesting commencement date of September 25, 2013, subject to a continued service relationship by the Individual and the Company at that time.
4. 25% of the options vest on the first anniversary following the vesting commencement date of June 29, 2016, and the remainder vest ratably on a monthly basis over the 36-month period following the first anniversary of the vesting commencement date, subject to a continued service relationship by the Individual and the Company at that time.
/s/ Jonathan Naft 06/09/2017
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.