SEC Form 4 · accession 0001140361-17-033776
CHEMBIO DIAGNOSTICS, INC. · CEMI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sharon W Klugewicz
Officer — President, Americas
Period of report
Aug 28, 2017
Accepted (ET)
Aug 30, 2017 · 4:29 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001092662
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Aug 28, 2017 | M | 9,448 | $4.45 | A | 16,448 | D |
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 stockF1 | $4.45 | Aug 28, 2017 | F | 12,000 | D | Sep 4, 2013 | Sep 4, 2017 | Common Stock | 12,000 | 0 | D |
| Options to purchase common stockF1 | $4.45 | Aug 28, 2017 | F | 12,000 | D | Sep 4, 2014 | Sep 4, 2017 | Common Stock | 12,000 | 0 | D |
| Options to purchase common stockF1 | $4.45 | Aug 28, 2017 | F | 2,552 | D | Sep 4, 2015 | Sep 4, 2017 | Common Stock | 2,552 | 0 | D |
| Options to purchase common stockF1 | $4.45 | Aug 28, 2017 | M | 9,448 | D | Sep 4, 2015 | Sep 4, 2017 | Common Stock | 9,448 | 0 | D |
Explanation of responses
- F1The reporting person exercised options to acquire 9,448 shares of common stock by submitting and relinquishing to the issuer options to purchase an additional 26,552 shares of common stock. These additional options to purchase 26,552 shares of common stock constituted payment of the exercise price, using the 10-day volume weighted average price dated August 25, 2017 of $6.0334. As a result of this transaction, the reporting person increased her stock ownership by 9,448 shares of common stock and reduced the number of options owned by 36,000 (9,448 exercised plus 26,552 used to pay the exercise price).