-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, WKsnG0ELhuo/WTaQfiFWH6t5qp8pc91XzqmSnYy2pTyMkGRRLwcM8jYvYyTRR3z7 SITyCE+EpKPjmljEW6HpYA== 0000901719-09-000002.txt : 20091102 0000901719-09-000002.hdr.sgml : 20091102 20091102205342 ACCESSION NUMBER: 0000901719-09-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091030 FILED AS OF DATE: 20091102 DATE AS OF CHANGE: 20091102 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: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 755 N MATIHILDA AVENUE CITY: SUNNYVALE STATE: CA ZIP: 94085 BUSINESS PHONE: 408 731 1800 MAIL ADDRESS: STREET 1: 755 N MATIHILDA AVENUE CITY: SUNNYVALE STATE: CA ZIP: 94085 FORMER COMPANY: FORMER CONFORMED NAME: MONOLITHIC SYSTEM TECHNOLOGY INC DATE OF NAME CHANGE: 19960613 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BERG CARL E CENTRAL INDEX KEY: 0000901719 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-32929 FILM NUMBER: 091152501 MAIL ADDRESS: STREET 1: C/O BERG & BERG DEVELOPERS STREET 2: 10050 BANDLEY DR CITY: CUPERTINO STATE: CA ZIP: 95014 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2009-10-30 0 0000890394 MoSys, Inc. MOSY 0000901719 BERG CARL E C/O BERG & BERG DEVELOPERS 10050 BANDLEY DR CUPERTINO CA 95014 1 0 0 0 COMMON STOCK 2009-10-30 4 P 0 53537 2.45 A 1013537 D COMMON STOCK 2009-11-02 4 P 0 249900 2.35 A 1263437 D COMMON STOCK 124998 D COMMON STOCK 169998 D THESE SHARES ARE OWNED BY CARL E. BERG, THE DESIGNATED BENEFICIAL OWNER FOR THE REPORTING GROUP. THE DESIGNATED BENEFICIAL OWNER DISCLAIMS BENEFICIAL OWNERSHIP EXCEPT TO THE EXTENT OF HIS RESPECTIVE PECUNIARY INTERESTS THEREIN. THESE SHARES ARE OWNED BY BERG & BERG ENTERPRISES, LLC ("BB"), A MEMBER OF THE REPORTING GROUP. THE DESIGNATED BENEFICIAL OWNER DISCLAIMS BENEFICIAL OWNERSHIP EXCEPT TO THE EXTENT OF THEIR RESPECTIVE PECUNIARY INTERESTS THEREIN. THESE SHARES ARE OWNED BY MARY ANN BERG, THE WIFE OF THE DESIGNATED BENEFICIAL OWNER. CARL E. BERG DISCLAIMS BENEFICIAL OWNERSHIP OF THESE SHARES HELD BY HIS WIFE AS HE HAS NO ECONOMIC INTEREST IN ANY OF THESE SHARES. CARL E. BERG, AS AN INDIVIDUAL AND AS MANAGER OF BB 2009-11-02 -----END PRIVACY-ENHANCED MESSAGE-----