-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, B866dznDFYaA50uZd1/NuPprLwofzKsnKLlkEgl1j900q3+jZPI6V/Ebu3yVyKhy KSzhcU00xU/lZkon8gtSjA== 0000914190-10-000675.txt : 20101115 0000914190-10-000675.hdr.sgml : 20101115 20101115145454 ACCESSION NUMBER: 0000914190-10-000675 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101111 FILED AS OF DATE: 20101115 DATE AS OF CHANGE: 20101115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kloeckner Darrel L CENTRAL INDEX KEY: 0001505103 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34839 FILM NUMBER: 101191604 MAIL ADDRESS: STREET 1: 14601 MORGAN AVENUE CITY: MARINE ON ST. CROIX STATE: MN ZIP: 55047 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Electromed, Inc. CENTRAL INDEX KEY: 0001488917 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 000000000 STATE OF INCORPORATION: MN BUSINESS ADDRESS: STREET 1: 500 SIXTH AVENUE NW CITY: NEW PRAGUE STATE: MN ZIP: 56071 BUSINESS PHONE: 952-758-9299 MAIL ADDRESS: STREET 1: 500 SIXTH AVENUE NW CITY: NEW PRAGUE STATE: MN ZIP: 56071 4 1 edgar.xml PRIMARY DOCUMENT X0303 4 2010-11-11 0001488917 Electromed, Inc. ELMD 0001505103 Kloeckner Darrel L C/O ELECTROMED, INC. 500 SIXTH STREET NW NEW PRAGUE MN 56071 1 0 0 0 Common Stock 2010-11-11 4 P 0 1200 3.39 A 40000 D /s/ Darrel Kloeckner 2010-11-15 -----END PRIVACY-ENHANCED MESSAGE-----