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