0001179110-21-008909.txt : 20210924 0001179110-21-008909.hdr.sgml : 20210924 20210924160747 ACCESSION NUMBER: 0001179110-21-008909 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210923 FILED AS OF DATE: 20210924 DATE AS OF CHANGE: 20210924 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MYERS ROBERT L CENTRAL INDEX KEY: 0001553600 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36790 FILM NUMBER: 211277342 MAIL ADDRESS: STREET 1: 4765 BEACON HILL ROAD CITY: EAGAN STATE: MN ZIP: 55122 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Predictive Oncology Inc. CENTRAL INDEX KEY: 0001446159 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 331007393 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2915 COMMERS DRIVE, STREET 2: SUITE 900 CITY: EAGAN STATE: MN ZIP: 55121 BUSINESS PHONE: 651-389-4800 MAIL ADDRESS: STREET 1: 2915 COMMERS DRIVE, STREET 2: SUITE 900 CITY: EAGAN STATE: MN ZIP: 55121 FORMER COMPANY: FORMER CONFORMED NAME: Precision Therapeutics Inc. DATE OF NAME CHANGE: 20180314 FORMER COMPANY: FORMER CONFORMED NAME: Precision Therapeutic Inc. DATE OF NAME CHANGE: 20180208 FORMER COMPANY: FORMER CONFORMED NAME: Skyline Medical Inc. DATE OF NAME CHANGE: 20130807 4 1 edgar.xml FORM 4 - X0306 4 2021-09-23 0 0001446159 Predictive Oncology Inc. POAI 0001553600 MYERS ROBERT L 2915 COMMERS DRIVE, SUITE 900 EAGAN MN 55121 0 1 0 0 Chief Financial Officer Common Stock, $.01 par value 2021-09-23 4 M 0 33334 1.13 A 33411 D Common Stock, $.01 par value 2021-09-23 4 D 0 10200 1.13 D 23211 D Restricted Stock Units 2021-09-23 4 M 0 33334 0 D Common Stock 33334 66666 D Each Restricted Stock Unit (RSU) represents a contingent right to receive one share of common stock. The shares are delivered to the Reporting Person upon vesting. On September 23, 2020, the reporting person was granted 100,000 restricted stock units, vesting in three annual installments beginning on the first anniversary of the grant date. The first of these installments vests on September 23, 2021. The remainder vests on each of 9/23/2022 and 9/23/2023. 10,200 shares of common stock forfeited to Company on September 23, 2021 to cover withholding tax, in accordance with Restricted Stock Unit Agreement between Reporting Person and Company. /s/ Bob Myers 2021-09-24