0001209191-21-069364.txt : 20211214 0001209191-21-069364.hdr.sgml : 20211214 20211214084156 ACCESSION NUMBER: 0001209191-21-069364 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211213 FILED AS OF DATE: 20211214 DATE AS OF CHANGE: 20211214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Newell Robert Y IV CENTRAL INDEX KEY: 0001347183 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-32929 FILM NUMBER: 211489764 MAIL ADDRESS: STREET 1: 2309 BERING DRIVE CITY: SAN JOSE STATE: CA ZIP: 95131 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 2021-12-13 0 0000890394 MoSys, Inc. MOSY 0001347183 Newell Robert Y IV 2309 BERING DR SAN JOSE CA 95131 1 0 0 0 Common stock 2021-12-13 4 P 0 15000 4.04 A 31000 D Price of securities acquired ranged from $3.98 to $4.09, with an average price of $4.04. /s/ James Sullivan by power of attorney 2021-12-14