SEC Form 4 · accession 0001140361-16-077240
BLONDER TONGUE LABORATORIES INC · BDR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert J Palle Jr.
Officer — President and CEO · Director · 10% Owner
Period of report
Aug 17, 2016
Accepted (ET)
Aug 19, 2016 · 12:52 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001000683
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.001 | Aug 17, 2016 | A | 25,000 | $0.00 | A | 1,313,798 | D | |
| Common Stock, par value $0.001 | Aug 17, 2016 | A | 50,000 | $0.00 | A | 1,363,798 | D | |
| Common Stock, par value $0.001 | Aug 17, 2016 | A | 322,580 | $0.00 | A | 1,686,378 | D | |
| Common Stock, par value $0.001 | holding | — | — | — | 200,000 | I | By LLC |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F4,F5 | $0.62 | Aug 17, 2016 | A | 100,000 | A | — | Aug 17, 2026 | Common Stock, par value $0.001 | 100,000 | 100,000 | D |
Explanation of responses
- F1Grant of restricted stock award, with shares vesting in three equal installments of one-third each on August 17, 2017, 2018 and 2019
- F2Grant of restricted stock award, with shares vesting in 24 equal monthly installments beginning August 17, 2016.
- F3Grant of restricted stock award, with shares vesting in 24 equal monthly installments beginning August 17, 2016.
- F4The exercise price equals the fair market value (equal to the average of the high and low selling prices as reported on the NYSE MKT) of the common stock on the grant date.
- F5The stock option vests in two equal installments of one-half each on August 17, 2017 and 2018