0000899243-19-021479.txt : 20190809 0000899243-19-021479.hdr.sgml : 20190809 20190809173112 ACCESSION NUMBER: 0000899243-19-021479 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190806 FILED AS OF DATE: 20190809 DATE AS OF CHANGE: 20190809 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lewis Daniel Lee CENTRAL INDEX KEY: 0001718088 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-32929 FILM NUMBER: 191013971 MAIL ADDRESS: STREET 1: 166 W PEARL STREET CITY: COLDWATER STATE: MI ZIP: 49036 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 2019-08-06 0 0000890394 MoSys, Inc. MOSY 0001718088 Lewis Daniel Lee 2309 BERING DRIVE SAN JOSE CA 95131 0 1 0 0 Chief Executive Officer Restricted Stock Units 2019-08-06 4 A 0 75000 A 145000 D On February 6, 2019, the reporting person was granted 450,000 restricted stock units. The restricted stock units (RSUs) vest as to one-sixth of the shares subject to the RSUs on each semi-annual anniversary of February 6, 2019. Amounts shown represent the conversion of the RSUs into common stock on a one-for-one basis upon vesting. /s/ James Sullivan by Power of Attorney 2019-08-09