SEC Form 4 · accession 0001185185-16-003413
PACIFIC HEALTH CARE ORGANIZATION INC · PFHO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Fred U Odaka
Officer — Chief Financial Officer
Period of report
Dec 31, 2015
Accepted (ET)
Jan 5, 2016 · 3:37 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001138476
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| CommonF1,F2 | Dec 31, 2015 | A | 750 | $0.00 | A | 750 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares are a restricted stock grant to the Reporting Person for services rendered to the Issuer. The shares are subject to a one-year vesting period except in the event a person or entity other than the Issuer or a shareholder of the Issuer as of November 18, 2005 acquires 25% or more of the outstanding common stock of the Issuer without approval of the Issuer's board of directors, in which case, the restricted stock grant would vest immediately. While the Reporting Person is entitled to vote the shares and participate in cash dividends during the restricted period between the date of grant and vesting, the Reporting Person is not entitled to sell, transfer, assign, pledge or otherwise dispose of or encumber the shares until they vest. The shares will be deemed outstanding, but will be held in escrow by the Company until they vest. Should the Reporting Person's employment with the Issuer terminate prior to vesting, the shares will be forfeited back to the Issuer.
- F2Restricted stock grant for services.