0001209191-19-025273.txt : 20190418
0001209191-19-025273.hdr.sgml : 20190418
20190418181711
ACCESSION NUMBER: 0001209191-19-025273
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190405
FILED AS OF DATE: 20190418
DATE AS OF CHANGE: 20190418
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Deschamps Philippe
CENTRAL INDEX KEY: 0001638231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38445
FILM NUMBER: 19756819
MAIL ADDRESS:
STREET 1: HELIUS MEDICAL TECHNOLOGIES, INC.
STREET 2: SUITE 400, 41 UNIVERSITY DRIVE
CITY: NEWTOWN
STATE: PA
ZIP: 18940
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HELIUS MEDICAL TECHNOLOGIES, INC.
CENTRAL INDEX KEY: 0001610853
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 364787690
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-04-05
0
0001610853
HELIUS MEDICAL TECHNOLOGIES, INC.
HSDT
0001638231
Deschamps Philippe
C/O HELIUS MEDICAL TECHNOLOGIES, INC.
642 NEWTOWN YARDLEY ROAD, SUITE 100
NEWTOWN
PA
18940
1
1
0
0
President and CEO
Class A Common Stock
2019-04-05
4
M
0
5018
5.60
A
15995
D
Class A Common Stock
666911
I
By LLC
Warrant (Right to Buy)
5.60
2019-04-05
4
M
0
5018
0.00
D
2016-04-18
2019-04-18
Class A Common Stock
5018
0
D
These securities are directly held by Deschamps Global Healthcare Commercialization LLC (the "LLC") and includes shares previously held directly by MPJ Healthcare, LLC ("MPJ"). The Reporting Person is a member of MPJ and is the sole member of the LLC.
Translated into U.S. dollars from Canadian dollars based on the noon buying rate from the Federal Reserve Bank of USD$1.00=CAD$1.3387 on April 5, 2019. The exercise price of the Warrant was CAD $7.50.
Effective January 22, 2018, the Issuer effected a 1-for-5 reverse stock split of the Issuer's Class A Common Stock. All share numbers and the exercise price of the Warrant reported herein give effect to the Reverse Stock Split.
/s/ Philippe Deschamps
2019-04-18