SEC Form 4 · accession 0001608562-17-000004
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
Feb 17, 2017
Accepted (ET)
Feb 23, 2017 · 3:44 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 | Feb 17, 2017 | M | 25,000 | $1.50 | A | 100,780 | D | |
| Common Stock | Feb 17, 2017 | F | 23,585 | $1.57 | D | 77,195 | 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 Option | $1.50 | Feb 17, 2017 | M | 25,000 | D | Mar 7, 2011 | Mar 6, 2017 | Common Stock | 25,000 | 135,000 | D |