0001209191-20-006177.txt : 20200204 0001209191-20-006177.hdr.sgml : 20200204 20200204075245 ACCESSION NUMBER: 0001209191-20-006177 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200131 FILED AS OF DATE: 20200204 DATE AS OF CHANGE: 20200204 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: 20570649 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 2020-01-31 0 0001610853 HELIUS MEDICAL TECHNOLOGIES, INC. HSDT 0001638231 Deschamps Philippe 642 NEWTOWN-YARDLEY ROAD SUITE 100 NEWTOWN PA 18940 1 1 0 0 President and CEO Class A Common Stock 2020-01-31 4 A 0 3959 1.01 A 37007 D Class A Common Stock 666911 I By LLC These shares are represented by fully vested restricted stock awards (the "RSAs"). The RSAs were issued to the Reporting Person in connection with the Reporting Person's election to participate in the Company's salary reduction program, pursuant to which the Reporting Person will receive RSAs in lieu of a percentage of the Reporting Person's cash compensation. 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. /s/ Philippe Deschamps 2020-02-04