0001235802-21-000025.txt : 20210427 0001235802-21-000025.hdr.sgml : 20210427 20210427164919 ACCESSION NUMBER: 0001235802-21-000025 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190111 FILED AS OF DATE: 20210427 DATE AS OF CHANGE: 20210427 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Army Joseph CENTRAL INDEX KEY: 0001435005 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38740 FILM NUMBER: 21859655 MAIL ADDRESS: STREET 1: ONE WASHINGTON CENTER, SUITE 400 CITY: DOVER STATE: NH ZIP: 03820 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VAPOTHERM INC CENTRAL INDEX KEY: 0001253176 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 DOMAIN DRIVE CITY: EXETER STATE: NH ZIP: 03833 BUSINESS PHONE: 603-658-0411 MAIL ADDRESS: STREET 1: 100 DOMAIN DRIVE CITY: EXETER STATE: NH ZIP: 03833 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2019-01-11 0 0001253176 VAPOTHERM INC VAPO 0001435005 Army Joseph 100 DOMAIN DRIVE EXETER NH 03833 1 1 0 0 President and CEO Common Stock 2020-01-20 4 A 0 500 0 A 500 I By spouse Common Stock 709921 D Employee Stock Option (right to buy) 17.15 2019-01-11 4 A 0 198 0 A 2029-01-11 Common Stock 198 198 I By spouse Consists of 500 shares that will be issued over time upon vesting pursuant to a restricted stock unit granted to the Reporting Person's spouse under the Vapotherm, Inc. 2018 Equity Incentive Plan provided the Reporting Person's spouse continues to serve as an employee or other service provider to the Issuer on the vesting date. The Reporting Person's spouse is an employee of the Company and the restricted stock unit grant she received was in connection with that role and consistent in amount with that role. Includes 27,700 shares that will be issued over time upon vesting pursuant to a restricted stock unit granted to the Reporting Person under the Vapotherm, Inc. 2018 Equity Incentive Plan. This option is held by the Reporting Person's spouse, was granted under the Vapotherm, Inc. 2018 Equity Incentive Plan and is eligible to vest with respect to 25% of the underlying shares on January 11, 2020 and thereafter as to the remaining 75% of the underlying shares in 36 nearly equal monthly installments, provided the Reporting Person's spouse continues to serve as an employee or other service provider to the Issuer on each vesting date. The Reporting Person's spouse is an employee of the Company and the option grant she received was in connection with that role and consistent in amount with that role. /s/Adrain Bryant, as Attorney In Fact 2021-04-27