0001140361-22-020576.txt : 20220525 0001140361-22-020576.hdr.sgml : 20220525 20220525163120 ACCESSION NUMBER: 0001140361-22-020576 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220523 FILED AS OF DATE: 20220525 DATE AS OF CHANGE: 20220525 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MATHIESEN JEFFREY S CENTRAL INDEX KEY: 0001296853 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38445 FILM NUMBER: 22963337 MAIL ADDRESS: STREET 1: 43334 SEVEN MILE RD. STREET 2: SUITE 1000 CITY: NORTHVILLE STATE: MI ZIP: 48167 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HELIUS MEDICAL TECHNOLOGIES, INC. CENTRAL INDEX KEY: 0001610853 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 364787690 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 642 NEWTOWN YARDLEY ROAD CITY: NEWTOWN STATE: PA ZIP: 18940 BUSINESS PHONE: 215-944-6104 MAIL ADDRESS: STREET 1: 642 NEWTOWN YARDLEY ROAD CITY: NEWTOWN STATE: PA ZIP: 18940 FORMER COMPANY: FORMER CONFORMED NAME: HELIUS MEDICAL TECHNOLOGIES, INC DATE OF NAME CHANGE: 20180517 FORMER COMPANY: FORMER CONFORMED NAME: HELIUS MEDICAL TECHNOLOGIES, INC. DATE OF NAME CHANGE: 20140613 4 1 form4.xml FORM 4 X0306 4 2022-05-23 0001610853 HELIUS MEDICAL TECHNOLOGIES, INC. HSDT 0001296853 MATHIESEN JEFFREY S C/O HELIUS MEDICAL TECHNOLOGIES, INC. 642 NEWTOWN YARDLEY ROAD, SUITE 100 NEWTOWN PA 18940 true CFO and Treasurer Stock Option (Right to Buy) 4.68 2022-05-23 4 A 0 37000 0 A 2032-05-22 Common Stock 37000 37000 D Grant to the Reporting Person of a stock option to purchase 37,000 shares of common stock under the Issuer's 2022 Equity Incentive Plan. Vests as to 6,170 shares on June 30, 2022, with the remainder vesting in 10 equal amounts on the last day of each fiscal quarter thereafter. /s/ Jeffrey Mathiesen 2022-05-25