SEC Form 4 · accession 0001140361-16-077291
AIRGAIN INC · AIRG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Frances Kordyback
Director · 10% Owner
Period of report
Aug 17, 2016
Accepted (ET)
Aug 19, 2016 · 4:19 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001272842
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Aug 17, 2016 | C | 1,212,556 | $0.00 | A | 1,270,779 | I | See footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series E Preferred StockF1,F2 | — | Aug 17, 2016 | C | 2,730,059 | D | — | — | Common Stock | 273,005 | 0 | I |
| Series F Preferred StockF1,F2 | — | Aug 17, 2016 | C | 769,230 | D | — | — | Common Stock | 76,923 | 0 | I |
| Series G Preferred StockF1,F2 | — | Aug 17, 2016 | C | 4,159,168 | D | — | — | Common Stock | 415,913 | 0 | I |
| Dividend RightF1,F3 | — | Aug 17, 2016 | C | 446,715 | D | — | — | Common Stock | 446,715 | 0 | I |
Explanation of responses
- F1See Exhibit 99.1; Note 1.
- F2See Exhibit 99.1; Note 2.
- F3See Exhibit 99.1; Note 3.
Remarks
Exhibit List: Exhibit 99.1 - Explanation of Responses