0001790300-21-000004.txt : 20210910
0001790300-21-000004.hdr.sgml : 20210910
20210910162326
ACCESSION NUMBER: 0001790300-21-000004
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210908
FILED AS OF DATE: 20210910
DATE AS OF CHANGE: 20210910
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: 211247314
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
2021-09-08
0
0001253176
VAPOTHERM INC
VAPO
0001435005
Army Joseph
100 DOMAIN DRIVE
EXETER
NH
03833
1
1
0
0
President and CEO
Common Stock
2021-09-08
4
J
0
9871
0
A
719792
D
Common Stock
2021-09-08
4
J
0
787
0
A
720579
D
Common Stock
500
I
By spouse
Distribution of shares by Vapotherm Investors, LLC pro rata without consideration to its members.
Distribution of shares by 3x5 Special Opportunity Fund, L.P. pro rata without consideration to its general partners and limited partners.
Includes 27,700 shares that will be issued over time upon vesting pursuant to restricted stock units granted under the Vapotherm, Inc. 2018 Equity Incentive Plan.
These shares 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.
/s/Adrain Bryant, as Attorney In Fact
2021-09-10