SEC Form 4 · accession 0001213900-17-005996
SITO MOBILE, LTD. · SITO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Betsy J Bernard
Director
Period of report
May 25, 2017
Accepted (ET)
May 30, 2017 · 9:03 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001157817
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | May 25, 2017 | M | 30,000 | $2.58 | A | 110,316 | D | |
| Common Stock | May 25, 2017 | F | 22,327 | $4.16 | D | 87,989 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionF2 | $2.58 | May 25, 2017 | M | 30,000 | D | — | Feb 18, 2021 | Common Stock | 30,000 | 36,014 | D |
Explanation of responses
- F1Represents a "net exercise" of outstanding stock options. The reporting person received 7,673 shares of common stock on the net exercise of an option to purchase 30,000 shares of common stock. The reporting person forfeited 22,327 shares of common stock underlying the option in payment of the exercise price and applicable withholding taxes, based on the market price of SITO common stock on May 24, 2017 of $4.16.
- F2The stock option became exercisable upon the date of grant.