SEC Form 4 · accession 0001209191-17-000632
CATASYS, INC. · CATS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David E Smith
Director · 10% Owner
Period of report
Dec 29, 2016
Accepted (ET)
Jan 4, 2017 · 12:12 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001136174
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantF1 | $0.85 | Dec 29, 2016 | J | 264,706 | A | Dec 29, 2016 | Dec 29, 2021 | Common Stock | 264,706 | 264,706 | I |
| Convertible DebentureF2 | $0.85 | Dec 29, 2016 | J | 352,942 | A | Dec 29, 2016 | Mar 31, 2017 | Common Stock | 352,942 | 352,942 | I |
Explanation of responses
- F1On December 29, 2016, Catasys, Inc. ("Catasys") issued to Shamus, LLC ("Shamus") a warrant exercisable for 264,706 shares of Catasys common stock at the exercise price of $0.85 per share (the "Warrant"), subject to potential future adjustment pursuant to the provisions of the Warrant. The Warrant was issued to Shamus concurrently and in connection with a debt financing from Shamus to Catasys pursuant to an 8% Series B convertible debenture dated as of December 29, 2016 (the "Debenture").
- F2On December 29, 2016, Catasys issued the Debenture to Shamus. At the option of the holder, the Debenture is convertible into 352,942 shares of Catasys common stock at the conversion price of $0.85 per share, subject to potential future adjustment pursuant to the provisions of the Debenture.