0001628280-21-011696.txt : 20210604
0001628280-21-011696.hdr.sgml : 20210604
20210604170708
ACCESSION NUMBER: 0001628280-21-011696
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210527
FILED AS OF DATE: 20210604
DATE AS OF CHANGE: 20210604
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gozani Shai
CENTRAL INDEX KEY: 0001297259
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33351
FILM NUMBER: 21997289
MAIL ADDRESS:
STREET 1: C/O NEUROMETRIX, INC.
STREET 2: 62 FOURTH AVENUE
CITY: WALTHAM
STATE: MA
ZIP: 02451
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NeuroMetrix, Inc.
CENTRAL INDEX KEY: 0001289850
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 043308180
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1000 WINTER STREET
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: (781) 890-9989
MAIL ADDRESS:
STREET 1: 1000 WINTER STREET
CITY: WALTHAM
STATE: MA
ZIP: 02451
4
1
wf-form4_162284081020457.xml
FORM 4
X0306
4
2021-05-27
0
0001289850
NeuroMetrix, Inc.
NURO
0001297259
Gozani Shai
C/O NEUROMETRIX, INC.
4B GILL STREET
WOBURN
MA
01801
1
1
0
0
President & CEO
Stock Option (right to buy Common Stock)
2.92
2021-05-27
4
A
0
171014
2.92
A
2021-05-27
2031-05-27
Common Stock
171014.0
396014
D
Nasdaq closing price on May 26, 2021
Vesting schedule, 50% on grant date and 25% on September 30, 2021 and December 31, 2021.
/s/ Thomas T. Higgins, Attorney-in-fact
2021-06-04