0001179110-13-005455.txt : 20130319 0001179110-13-005455.hdr.sgml : 20130319 20130319171824 ACCESSION NUMBER: 0001179110-13-005455 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130318 FILED AS OF DATE: 20130319 DATE AS OF CHANGE: 20130319 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JOHNSON DAVID ORRIN CENTRAL INDEX KEY: 0001553577 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54361 FILM NUMBER: 13702693 MAIL ADDRESS: STREET 1: 9912 BROOKSIDE AVE CITY: BLOOMINGTON STATE: MN ZIP: 55431 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BioDrain Medical, Inc. CENTRAL INDEX KEY: 0001446159 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 331007393 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2060 CENTRE POINTE BOULEVARD STREET 2: SUITE 7 CITY: MENDOTA HEIGHTS STATE: MN ZIP: 55120 BUSINESS PHONE: (612) 850-9460 MAIL ADDRESS: STREET 1: 2060 CENTRE POINTE BOULEVARD STREET 2: SUITE 7 CITY: MENDOTA HEIGHTS STATE: MN ZIP: 55120 4 1 edgar.xml FORM 4 - X0306 4 2013-03-18 0 0001446159 BioDrain Medical, Inc. BIOR 0001553577 JOHNSON DAVID ORRIN 2915 COMMERS DRIVE, SUITE 900 EAGAN MN 55121 0 1 0 0 Chief Operating Officer Common Stock 0 D Stock Options (right to buy) 0.08 2022-08-13 Common Stock 1000000 1000000 D Stock Options (right to buy) 0.079 2013-03-18 4 A 0 949368 0 A 2023-03-18 Common Stock 949368 949368 D 700,000 shares vest immediately; 300,000 shares vest on 2/13/2014. 474,684 shares vest on each of 9/18/2013 and 3/18/2014. /s/ David O. Johnson 2013-03-19