SEC Form 4 · accession 0001325077-15-000001
PURADYN FILTER TECHNOLOGIES INC · PFTI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Forrest Duane Hayes
Director
Period of report
Dec 9, 2015
Accepted (ET)
Dec 11, 2015 · 3:35 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001019787
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Expiration of Options to Purchase Common Stock | $0.27 | Nov 16, 2010 | J | 10,000 | A | Nov 16, 2012 | Nov 16, 2015 | Common Stock | 10,000 | 40,000 | D |
| Options to Purchase Common Stock | $0.11 | Dec 9, 2015 | A | 10,000 | A | Dec 9, 2017 | Dec 9, 2020 | Common Stock | 10,000 | 50,000 | D |
| Options to Purchase Common Stock | $0.11 | Dec 9, 2015 | A | 2,500 | A | Dec 9, 2017 | Dec 9, 2025 | Common Stock | 2,500 | 52,500 | D |
Explanation of responses
- F1Expiration of Options