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