0001209191-21-069363.txt : 20211214
0001209191-21-069363.hdr.sgml : 20211214
20211214083944
ACCESSION NUMBER: 0001209191-21-069363
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211210
FILED AS OF DATE: 20211214
DATE AS OF CHANGE: 20211214
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: 211489762
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
2021-12-10
0
0000890394
MoSys, Inc.
MOSY
0001718088
Lewis Daniel Lee
2309 BERING DR
SAN JOSE
CA
95131
1
1
0
0
Chief Executive Officer
Common Stock
2021-12-10
4
P
0
5000
3.94
A
37250
D
Shares were purchased by the reporting person in a joint account with the reporting person's spouse.
/s/ James Sullivan by power of attorney
2021-12-14