SEC Form 4 · accession 0001437749-15-010743
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
May 18, 2015
Accepted (ET)
May 20, 2015 · 9:10 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001136174
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.0001 per shareF1 | May 18, 2015 | J | 831,250 | — | A | 5,503,509 | I | Through Shamus, LLC |
| Common Stock, par value $0.0001 per shareF1 | May 18, 2015 | J | 690,000 | — | A | 6,193,509 | I | Through Shamus, LLC |
| Common Stock, par value $0.0001 per shareF1 | May 18, 2015 | J | 665,000 | — | A | 6,858,509 | I | Through Shamus, LLC |
| Common Stock, par value $0.0001 per shareF1 | May 18, 2015 | J | 714,286 | — | A | 7,572,795 | I | Through Shamus, LLC |
| Common Stock, par value $0.0001 per shareF1 | May 18, 2015 | J | 325,715 | — | A | 7,898,510 | I | Through Shamus, LLC |
| Common Stock, par value $0.0001 per shareF1 | May 18, 2015 | J | 862,069 | — | A | 8,760,579 | I | Through Shamus, LLC |
| Common Stock, par value $0.0001 per shareF1 | May 18, 2015 | J | 344,828 | — | A | 9,105,407 | I | Through Shamus, LLC |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantF1 | $0.58 | May 18, 2015 | J | 831,250 | D | Apr 17, 2012 | Apr 17, 2017 | Common Stock | 831,250 | 0 | I |
| WarrantF1 | $0.58 | May 18, 2015 | J | 690,000 | D | Dec 27, 2011 | Dec 27, 2016 | Common Stock | 690,000 | 0 | I |
| WarrantF1 | $0.58 | May 18, 2015 | J | 665,000 | D | Sep 13, 2012 | Sep 13, 2017 | Common Stock | 665,000 | 0 | I |
| WarrantF1 | $0.58 | May 18, 2015 | J | 714,286 | D | Dec 4, 2012 | Dec 4, 2017 | Common Stock | 714,286 | 0 | I |
| WarrantF1 | $0.58 | May 18, 2015 | J | 325,715 | D | Apr 10, 2013 | Apr 10, 2018 | Common Stock | 324,715 | 0 | I |
| WarrantF1 | $0.58 | May 18, 2015 | J | 862,069 | D | Oct 15, 2013 | Oct 15, 2018 | Common Stock | 862,069 | 0 | I |
| WarrantF1 | $0.58 | May 18, 2015 | J | 344,828 | D | May 27, 2014 | May 24, 2019 | Common Stock | 344,828 | 0 | I |
Explanation of responses
- F1On May18, 2015, the issuer canceled, pursuant to a warrant exchange agreement by and between the issuer and the reporting person, these warrants to purchase shares of common stock of the issuer that were owned by the reporting person. In exchange for the cancelation of the warrants, the reporting person received shares of the issuer's common stock.