0000899243-19-006005.txt : 20190305 0000899243-19-006005.hdr.sgml : 20190305 20190305060546 ACCESSION NUMBER: 0000899243-19-006005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190301 FILED AS OF DATE: 20190305 DATE AS OF CHANGE: 20190305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SULLIVAN JAMES CENTRAL INDEX KEY: 0001254117 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-32929 FILM NUMBER: 19656534 MAIL ADDRESS: STREET 1: 3301 OLCOTT STREET CITY: SANTA CLARA STATE: CA ZIP: 95054 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MoSys, Inc. CENTRAL INDEX KEY: 0000890394 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 770291941 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2309 BERING DRIVE CITY: SAN JOSE STATE: CA ZIP: 95131 BUSINESS PHONE: 408 418 7500 MAIL ADDRESS: STREET 1: 2309 BERING DRIVE CITY: SAN JOSE STATE: CA ZIP: 95131 FORMER COMPANY: FORMER CONFORMED NAME: MONOLITHIC SYSTEM TECHNOLOGY INC DATE OF NAME CHANGE: 19960613 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-03-01 0 0000890394 MoSys, Inc. MOSY 0001254117 SULLIVAN JAMES 3301 OLCOTT STREET SANTA CLARA CA 95054 0 1 0 0 Chief Financial Officer Common Stock 2019-03-01 4 M 0 3333 A 30929 D Common Stock 2019-03-01 4 F 0 1363 0.168 D 29566 D On July 22, 2016, the reporting person was granted 10,000 restricted stock units, which reflect the impact of a 1-for-10 reverse stock split of MoSys, Inc. common stock effected in February 2017. The restricted stock units (RSUs) vested in 3 equal installments on each of March 1, 2017, 2018 and 2019. Amounts shown represent the conversion of the RSUs into common stock on a one-for-one basis upon vesting. /s/ James Sullivan 2019-03-05