SEC Form 4 · accession 0001683168-18-000070
Dougherty's Pharmacy, Inc. · MYDP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James Leslie
Director
Period of report
Dec 27, 2017
Accepted (ET)
Jan 8, 2018 · 4:28 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001080029
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 1, 2018 | M | 5,100 | — | A | 1,630,740 | D | |
| Common StockF2 | Dec 27, 2017 | J | 32,513 | — | A | 1,666,253 | D | |
| Common StockF2,F3 | Dec 27, 2017 | J | 3,099 | — | A | 1,666,253 | I | See Footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF4,F5,F6 | — | Jan 1, 2018 | M | 5,100 | D | — | — | Common Stock | 5,100 | 30,350 | D |
| Restricted Stock UnitsF5,F6 | — | Jan 1, 2018 | M | 20,000 | A | — | — | Common Stock | 20,000 | 50,350 | D |
| Restricted Stock UnitsF4,F6 | — | Dec 27, 2017 | J | 600 | A | — | — | Common Stock | 600 | 50,950 | D |
Explanation of responses
- F1Acquired pursuant to automatic vesting of Restricted Stock Units issued under the Issuer's Restricted Share Unit Incentive Plan.
- F2Acquired pursuant to the Issuer's declaration of a common stock dividend effective as of December 27, 2017.
- F3Comprised of 1,554 shares held in trust for the benefit of James Josiah Leslie, and 1,545 shares held in trust for the benefit of Jenna L. Leslie. Mr. Leslie disclaims beneficial ownership for all of these 3,099 shares.
- F4Issued under the Issuer's Restricted Share Unit Incentive Plan.
- F5Converted pursuant to automatic vesting of Restricted Stock Units issued under the Issuer's Restricted Share Unit Incentive Plan.
- F6Restricted Stock Units vest periodically through January 1, 2022.