SEC Form 4 · accession 0001567619-18-006741
BLONDER TONGUE LABORATORIES INC · BDR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Eric S Skolnik
Officer — Sr. VP, CFO
Period of report
Nov 16, 2018
Accepted (ET)
Nov 20, 2018 · 2:13 pm EST
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 $0.001F1 | Nov 16, 2018 | M | 10,000 | $0.755 | A | 35,000 | D | |
| Common Stock, par value $0.001F1 | Nov 16, 2018 | F | 8,297 | $0.755 | D | 26,703 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F1,F2 | $0.755 | Nov 16, 2018 | M | 10,000 | A | — | Nov 17, 2018 | Common Stock par value $0.001 | 10,000 | 0 | D |
Explanation of responses
- F1Represents a "net exercise" of the identified stock option. The reporting person received 1,703 shares of common stock on net exercise of an option to purchase 10,000 shares of common stock, with 8,297 shares of common stock underlying the option withheld in satisfaction of the exercise price of the option.
- F2The stock option vested in three equal installments on November 17, 2009, November 17, 2010 and November 17, 2011.