SEC Form 4 · accession 0001144204-16-089036
INTELLINETICS, INC. · INLX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kendall Duane Gill
Officer — Chief Financial Officer
Period of report
Jan 1, 2016
Accepted (ET)
Mar 21, 2016 · 6:11 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001081745
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OPTIONF2,F1 | $0.90 | Jan 1, 2016 | A | 50,000 | A | — | Dec 31, 2025 | Common stock | 50,000 | 50,000 | D |
Explanation of responses
- F125% of the options vest annually, beginning on January 1, 2016.
- F2Granted in exchange for officer services to the Company, in accordance with the 2015 Intellinetics Inc. Equity Incentive Plan.