SEC Form 4 · accession 0001213900-17-006088
SITO MOBILE, LTD. · SITO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lowell W Robinson
Director
Period of report
May 30, 2017
Accepted (ET)
Jun 1, 2017 · 8:43 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 30, 2017 | M | 20,000 | $2.60 | A | 20,000 | D | |
| Common Stock | May 30, 2017 | F | 12,871 | $4.04 | D | 7,129 | 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 | $2.60 | May 30, 2017 | M | 20,000 | D | — | Apr 18, 2024 | Common Stock | 20,000 | 0 | D |
Explanation of responses
- F1Represents a "net exercise" of outstanding stock options. The reporting person received 7,129 shares of common stock on the net exercise of an option to purchase 20,000 shares of common stock. The reporting person forfeited 12,871 shares of common stock underlying the option in payment of the exercise price, based on the market price of SITO common stock on May 30, 2017 of $4.04.
- F2The stock option became exercisable upon the date of grant.