SEC Form 4 · accession 0001608562-17-000003
SIERRA MONITOR CORP /CA/ · SRMC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tamara S Allen
Officer — Chief Financial Officer
Period of report
Dec 21, 2015
Accepted (ET)
Feb 16, 2017 · 6:34 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000100625
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Dec 21, 2015 | A | 15,000 | $0.00 | A | 77,189 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock OptionF1 | $1.45 | Feb 10, 2015 | A | 100,000 | A | — | Feb 9, 2025 | Common Stock | 100,000 | 160,000 | D |
Explanation of responses
- F11. One-fourth of the shares subject to the option vested on February 10, 2016 and one forty-eighth of the shares vest monthly thereafter.