SEC Form 4 · accession 0001383821-17-000001
PURADYN FILTER TECHNOLOGIES INC · PFTI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dominick A Telesco
Director
Period of report
Jun 1, 2017
Accepted (ET)
Jun 2, 2017 · 3:27 pm EDT
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options to purchase common stock | $0.13 | Jun 1, 2017 | A | 5,000 | A | Dec 19, 2014 | Dec 19, 2017 | Common stock | 5,000 | 5,000 | D |
| Options to purchase common stock | $0.15 | Jun 1, 2017 | A | 5,000 | A | Dec 19, 2015 | Jun 1, 2018 | Common stock | 5,000 | 5,000 | D |
| Options to purchase common stock | $0.22 | Jun 1, 2017 | A | 5,000 | A | Dec 19, 2016 | Jun 1, 2018 | Common stock | 5,000 | 5,000 | D |
Remarks
This Form 4 is being filed solely to report all beneficial holdings of Mr. Telesco as of June 1, 2017, which is the date of his resignation from the board of directors of Puradyn Filter Technologies, Inc. All prior acquisitions and dispositions were previously reported by Mr. Telesco. See Current Report on Form 8-K as filed with the SEC on June 1, 2017.