Specialized Disclosure Report (sd)
May 31 2018 - 10:45AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form SD
Specialized Disclosure Report
MoSys, Inc.
(Exact name of registrant as specified in its charter)
000-32929
(Commission File Number)
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Delaware
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77-0291941
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(State or other jurisdiction
of incorporation)
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(I.R.S. Employer
Identification No.)
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2309 Bering Drive
San Jose, California 95131
(Address of principal executive offices, with zip code)
(408)
418-7500
(Registrant’s telephone number, including area code)
Check the appropriate box to indicate the rule pursuant to which this form is being filed, and provide the period to which the information in
this form applies:
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☒
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Rule 13p-1
under the Securities Act (17 CFR
240.13p-1)
for the reporting period from January 1, 2017 to December 31, 2017.
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Section 1 – Conflict Minerals Disclosure
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Item 1.01
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Conflict Minerals Disclosure and Report
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This Form SD and a copy of the Conflict Minerals Report for
MoSys, Inc., filed as Exhibit 1.02 hereto, are available on the MoSys, Inc. website, www.mosys.com, under the company section, under the heading “Conflict Minerals Disclosure.”
The Conflict Minerals Report required by Item 1.01 is filed as Exhibit 1.01 to this Form SD.
Section 2 – Exhibits
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Exhibit 1.01
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Conflict Minerals Report for MoSys, Inc.
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2
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the duly
authorized undersigned.
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MOSYS, INC.
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Date: May 31, 2018
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By:
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/s/ James W. Sullivan
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James W. Sullivan
Vice President of Finance and Chief Financial Officer
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