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