0000914190-13-000162.txt : 20130219
0000914190-13-000162.hdr.sgml : 20130219
20130219164351
ACCESSION NUMBER: 0000914190-13-000162
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130215
FILED AS OF DATE: 20130219
DATE AS OF CHANGE: 20130219
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SKARVAN KATHLEEN
CENTRAL INDEX KEY: 0001266296
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34839
FILM NUMBER: 13623962
MAIL ADDRESS:
STREET 1: 40 WEST HIGHLAND PARK DR NE
CITY: HUTCHINSON
STATE: MN
ZIP: 55350
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Electromed, Inc.
CENTRAL INDEX KEY: 0001488917
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 411732920
FISCAL YEAR END: 0630
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
X0306
4
2013-02-15
0001488917
Electromed, Inc.
ELMD
0001266296
SKARVAN KATHLEEN
C/O ELECTROMED, INC.
500 SIXTH STREET NW
NEW PRAGUE
MN
56071
0
1
0
0
Chief Executive Officer
Common Stock
2013-02-15
4
P
0
2900
1.35
A
17900
D
Stock Options (Right to Buy)
1.75
2022-12-02
Common Stock
20000
20000
D
6,667 shares vest on 6/30/13 and 6/30/14 and 6,666 shares vest on 6/30/15.
Scott J. Dorfman as Attorney-in-Fact for Kathleen Skarvan pursuant to Power of Attorney previously filed.
2013-02-19