SEC Form 4 · accession 0001209191-16-150969
BSQUARE CORP /WA · BSQR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jerry D Chase
Officer — President & CEO · Director
Period of report
Nov 15, 2016
Accepted (ET)
Nov 17, 2016 · 6:12 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001054721
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Nov 15, 2016 | A | 10,000 | $0.00 | A | 76,610 | D |
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)F3 | $5.05 | Nov 15, 2016 | A | 50,000 | A | Nov 15, 2017 | Nov 15, 2026 | Common Stock | 50,000 | 50,000 | D |
Explanation of responses
- F1These restricted stock units shall vest 25% on November 15, 2017 and the balance will vest in equal quarterly installments for three years thereafter.
- F2Adjusted for the transfer by the reporting person of shares of Bsquare common stock and restricted stock units pursuant to a domestic relations order since the date of the reporting person's last ownership report.
- F3These options shall vest 25% on November 15, 2017 and the balance will vest in equal monthly installments for three years thereafter.