0001235802-23-000107.txt : 20231004 0001235802-23-000107.hdr.sgml : 20231004 20231004162750 ACCESSION NUMBER: 0001235802-23-000107 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231002 FILED AS OF DATE: 20231004 DATE AS OF CHANGE: 20231004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McKay Dorota CENTRAL INDEX KEY: 0001897951 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38740 FILM NUMBER: 231308328 MAIL ADDRESS: STREET 1: 100 DOMAIN DRIVE CITY: EXETER STATE: NH ZIP: 03833 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VAPOTHERM INC CENTRAL INDEX KEY: 0001253176 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 462259298 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 X0508 4 2023-10-02 0 0001253176 VAPOTHERM INC VAPO 0001897951 McKay Dorota 100 DOMAIN DRIVE EXETER NH 03833 0 1 0 0 VP, Controller and CAO 0 Common Stock 2023-10-02 4 A 0 15000 0 A 21371 D This award was granted under the Vapotherm, Inc. Amended and Restated 2018 Equity Incentive Plan in the form of restricted stock units. The restricted stock units vest with respect to approximately one-fourth of the underlying shares on each of the one-year, two-year, three-year and four-year anniversaries of the grant date, subject to the Reporting Person's continued service as an employee or other service provider to the Issuer through the vesting dates. Includes 17,869 shares that will be issued over time upon vesting pursuant to restricted stock units granted under the Vapotherm, Inc. Amended and Restated 2018 Equity Incentive Plan. On August 18, 2023, a 1-for-8 reverse split of the common stock of Vapotherm, Inc. occurred resulting in a decrease in the number of shares held by the reporting person. In addition, proportionate adjustments have been made to the reporting person's outstanding equity awards, including the number of restricted stock units as reflected on this Form 4 and described in footnote (2) to this Form 4, to reflect the 1-for-8 reverse stock split. /s/ James Lightman, as Attorney In Fact 2023-10-04