SEC Form 4 · accession 0001213900-17-002304
SG BLOCKS, INC. · SGBX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mahesh S Shetty
Officer — CFO · Director
Period of report
Mar 10, 2017
Accepted (ET)
Mar 14, 2017 · 6:20 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001023994
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F4,F1,F3 | — | Mar 10, 2017 | A | 79,468 | A | — | Mar 10, 2027 | Common Stock | 79,468 | 79,468 | D |
| Stock Option (right to buy)F4,F2,F3 | — | Mar 10, 2017 | A | 52,978 | A | — | Mar 10, 2027 | Common Stock | 52,978 | 52,978 | D |
Explanation of responses
- F1The options, issued under the issuer's stock incentive plan, will have an exercise price equal to the price per share at which the public purchases shares of common stock in the offering pursuant to which a registration statement on Form S-1 was filed with the Securities and Exchange Commission on February 6, 2017.
- F2The options, issued under the issuer's stock incentive plan, will have an exercise price equal to 120% of the price per share at which the public purchases shares of common stock in the offering pursuant to which a registration statement on Form S-1 was filed with the Securities and Exchange Commission on February 6, 2017.
- F3The options will vest and become exercisable in three tranches, with 1/3 of each option vesting upon the achievement of any one of three performance targets, as specified in the stock option agreement.
- F4The options were granted under the issuer's stock incentive plan and without payment of consideration in connection with the reporting person's employment with the issuer.
Remarks
* The issuer intends to apply for quotation or listing under this symbol in the future.