0001209191-21-062671.txt : 20211103 0001209191-21-062671.hdr.sgml : 20211103 20211103160605 ACCESSION NUMBER: 0001209191-21-062671 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211102 FILED AS OF DATE: 20211103 DATE AS OF CHANGE: 20211103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Crowley Thomas Aloysius Jr. CENTRAL INDEX KEY: 0001706753 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38109 FILM NUMBER: 211375338 MAIL ADDRESS: STREET 1: 19 ST CLAIR AV CITY: SPRING LAKE STATE: NJ ZIP: 07762 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MYOMO, INC. CENTRAL INDEX KEY: 0001369290 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 137 PORTLAND STREET STREET 2: 4TH FLOOR CITY: BOSTON STATE: MA ZIP: 02114 BUSINESS PHONE: 617-996-9058 MAIL ADDRESS: STREET 1: 137 PORTLAND STREET STREET 2: 4TH FLOOR CITY: BOSTON STATE: MA ZIP: 02114 FORMER COMPANY: FORMER CONFORMED NAME: MYOMO INC DATE OF NAME CHANGE: 20060718 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-11-02 0 0001369290 MYOMO, INC. MYO 0001706753 Crowley Thomas Aloysius Jr. C/O MYOMO, INC. 137 PORTLAND ST., 4TH FLOOR BOSTON MA 02114 1 0 0 0 Common Stock 2021-11-02 4 M 0 211 0.048 A 20042 D Common Stock 2021-11-02 4 M 0 208 0.048 A 19831 D Stock Options (Right to Buy) 0.048 2021-11-02 4 M 0 211 0.00 D 2016-03-20 2023-01-22 Common Stock 211 0 D Stock Options (Right to Buy) 0.048 2021-11-02 4 M 0 208 0.00 D 2016-03-26 2024-03-25 Common Stock 208 0 D Represents the exercise by Mr. Crowley of stock options granted January 23, 2013 and March 26, 2014. /s/ Paul Gudonis, Attorney in Fact 2021-11-03