0001638231-16-000001.txt : 20160728
0001638231-16-000001.hdr.sgml : 20160728
20160728155213
ACCESSION NUMBER: 0001638231-16-000001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160713
FILED AS OF DATE: 20160728
DATE AS OF CHANGE: 20160728
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HELIUS MEDICAL TECHNOLOGIES, INC.
CENTRAL INDEX KEY: 0001610853
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 000000000
STATE OF INCORPORATION: WY
FISCAL YEAR END: 0331
BUSINESS ADDRESS:
STREET 1: SUITE 400, 41 UNIVERSITY DRIVE
CITY: NEWTOWN
STATE: PA
ZIP: 18940
BUSINESS PHONE: 215-809-2018
MAIL ADDRESS:
STREET 1: SUITE 400, 41 UNIVERSITY DRIVE
CITY: NEWTOWN
STATE: PA
ZIP: 18940
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: 000-55364
FILM NUMBER: 161790065
MAIL ADDRESS:
STREET 1: HELIUS MEDICAL TECHNOLOGIES, INC.
STREET 2: SUITE 400, 41 UNIVERSITY DRIVE
CITY: NEWTOWN
STATE: PA
ZIP: 18940
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2016-07-13
0
0001610853
HELIUS MEDICAL TECHNOLOGIES, INC.
HSDT
0001638231
Deschamps Philippe
HELIUS MEDICAL TECHNOLOGIES, INC.
SUITE 400, 41 UNIVERSITY DRIVE
NEWTOWN
PA
18940
1
1
0
0
President & CEO
Stock Option (Right to Buy)
1.07
2016-07-13
4
A
0
1500000
0
A
2020-07-13
Class A Common Stock
1500000
1500000
D
Translated into US dollars from Canadian dollars based on buying rate from Federal Reserve Bank. USD $1.00 = CAD $1.2962 on July 13, 2016; based on exercise price of CAD $1.39
1/3 of total options vested on date of grant; 1/3 will vest on first anniversary of date of grant and 1/3 will vest on second anniversary of date of grant
Philippe Deschamps
2016-07-28