0001209191-20-045812.txt : 20200807
0001209191-20-045812.hdr.sgml : 20200807
20200807211127
ACCESSION NUMBER: 0001209191-20-045812
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200806
FILED AS OF DATE: 20200807
DATE AS OF CHANGE: 20200807
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: 201086736
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
2020-08-06
0
0000890394
MoSys, Inc.
MOSY
0001254117
SULLIVAN JAMES
2309 BERING DRIVE
SAN JOSE
CA
95131
0
1
0
0
Chief Financial Officer
Common Stock
2020-08-06
4
M
0
1375
A
4574
D
Common Stock
2020-08-06
4
F
0
464
1.81
D
4110
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 Mosys, Inc. 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
2020-08-07