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MYOMO, INC. Director's Dealing 2017

Jun 12, 2017

34736_dirs_2017-06-12_b8ac5b30-4319-46e0-a989-258d74747ac9.zip

Director's Dealing

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SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: MYOMO INC (MYO)
CIK: 0001369290
Period of Report: 2017-06-09

Reporting Person: GUDONIS PAUL R (Director, CHIEF EXECUTIVE OFFICER)

Holdings (Non-Derivative)

Security Shares Ownership
COMMON STOCK 271328 Direct

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
SERIES A-1 CONVERTIBLE PREFERRED $7.50 COMMON STOCK (69726) Direct
SERIES B-1 CONVERTIBLE PREFERRED $7.50 COMMON STOCK (57489) Direct
8% SUBORDINATED CONVERTIBLE NOTE $5.18 COMMON STOCK (21564) Direct
WARRANTS (RIGHT TO BUY) $6.28 COMMON STOCK (18312) Direct
STOCK OPTION (RIGHT TO BUY) $0.0016 2020-03-18 COMMON STOCK (20833) Direct
STOCK OPTION (RIGHT TO BUY) $1.0496 2026-06-29 COMMON STOCK (6250) Direct

Footnotes

F1: The Convertible Preferred Stock will automatically convert, on a one-for-one basis, upon the completion of the Company's initial public offering. The Convertible Preferred Stock has no expiration.

F2: The outstanding principal and interest shall be due and payable on December 31, 2018, unless earlier converted.

F3: The Warrants were issued in conjunction with the 8% Subordinated Convertible Note.

F4: The Warrants are not exercisable until the Company issues and sells shares of its Equity Securities in any public equity financing resulting in gross proceeds to the Company of at least $5,000,000 (including, for such purposes, all amounts raised in the Company's initial public offering and concurrent private placement) (a "Qualified Financing") and shall expire at 5:00 p.m. Eastern Time on the date that is three years following the Qualified Financing.

F5: 25% of the options vest on the first anniversary following the vesting commencement date of March 18, 2015, and the remainder vest ratably on a monthly basis over the 36-month period following the first anniversary of the vesting commencement date, subject to a continued service relationship by the Individual and the Company at that time.

F6: 25% of the options vest on the first anniversary following the vesting commencement date of June 29, 2016, and the remainder vest ratably on a monthly basis over the 36-month period following the first anniversary of the vesting commencement date, subject to a continued service relationship by the Individual and the Company at that time.