0001209191-20-008140.txt : 20200210 0001209191-20-008140.hdr.sgml : 20200210 20200210203710 ACCESSION NUMBER: 0001209191-20-008140 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200206 FILED AS OF DATE: 20200210 DATE AS OF CHANGE: 20200210 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: 20593570 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 2020-02-06 0 0000890394 MoSys, Inc. MOSY 0001254117 SULLIVAN JAMES 2309 BERING DRIVE SAN JOSE CA 95131 0 1 0 0 Chief Financial Officer Common Stock 2020-02-06 4 M 0 1375 A 4823 D Common Stock 2020-02-06 4 F 0 563 2.25 D 3199 D On February 6, 2019, the reporting person was granted 8,250 restricted stock units, which reflect the impact of a 1-for-20 reverse stock split of the Issuer's common stock effected in August 2019. 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. In accordance with Instruction 4 to this Form, Column 5 reports only the total beneficial ownership of the "class" of derivative security reported in Column 1. /s/ James Sullivan 2020-02-10