SEC Form 4 · accession 0001140361-16-055506
COSI INC · COSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert J Dourney
Officer — CEO & President · Director
Period of report
Feb 26, 2016
Accepted (ET)
Feb 29, 2016 · 4:24 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001171014
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.01F1 | Feb 26, 2016 | J | 191,939 | $0.65 | D | 2,575,895 | D | |
| Common Stock, par value $0.01 | holding | — | — | — | 17,182 | I | By spouse |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares were forfeited pursuant to the Agreement dated February 26, 2016, between the reporting person and the issuer, a copy of which was filed with the Securities and Exchange Commission on February 26, 2016. The price listed above is the closing price of the issuer's common stock on February 26, 2016.