SEC Form 4 · accession 0001140361-16-077504
AIRGAIN INC · AIRG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Francis X Egan
Director · 10% Owner
Period of report
Aug 17, 2016
Accepted (ET)
Aug 22, 2016 · 8:11 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 Stock | Aug 17, 2016 | C | 15,326 | $0.00 | A | 35,152 | D | |
| Common StockF1 | Aug 17, 2016 | C | 1,212,556 | $0.00 | A | 1,270,779 | I | See footnote |
| Common StockF2 | Aug 17, 2016 | C | 196,220 | $0.00 | A | 362,578 | 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 A Preferred StockF3 | — | Aug 17, 2016 | C | 1,647 | D | — | — | Common Stock | 296 | 0 | D |
| Series A Preferred StockF2,F3 | — | Aug 17, 2016 | C | 157,250 | D | — | — | Common Stock | 27,826 | 0 | I |
| Series B Preferred StockF2,F4 | — | Aug 17, 2016 | C | 454,942 | D | — | — | Common Stock | 82,416 | 0 | I |
| Series C Preferred StockF2,F5 | — | Aug 17, 2016 | C | 341,000 | D | — | — | Common Stock | 39,697 | 0 | I |
| Series D Preferred StockF2,F6 | — | Aug 17, 2016 | C | 123,098 | D | — | — | Common Stock | 12,309 | 0 | I |
| Series D Preferred StockF6 | — | Aug 17, 2016 | C | 46,761 | D | — | — | Common Stock | 4,675 | 0 | D |
| Series E Preferred StockF1,F6 | — | Aug 17, 2016 | C | 2,730,059 | D | — | — | Common Stock | 273,005 | 0 | I |
| Series E Preferred StockF6 | — | Aug 17, 2016 | C | 24,302 | D | — | — | Common Stock | 2,430 | 0 | D |
| Series F Preferred StockF1,F6 | — | Aug 17, 2016 | C | 769,230 | D | — | — | Common Stock | 76,923 | 0 | I |
| Series G Preferred StockF1,F6 | — | Aug 17, 2016 | C | 4,159,168 | D | — | — | Common Stock | 415,913 | 0 | I |
| Dividend RightF7 | — | Aug 17, 2016 | C | 7,925 | D | — | — | Common Stock | 7,925 | 0 | D |
| Dividend RightF1,F7 | — | Aug 17, 2016 | C | 446,715 | D | — | — | Common Stock | 446,715 | 0 | I |
| Dividend RightF2,F7 | — | Aug 17, 2016 | C | 33,972 | D | — | — | Common Stock | 33,972 | 0 | I |
Explanation of responses
- F1See Exhibit 99.1; Note 1.
- F2See Exhibit 99.1; Note 2.
- F3See Exhibit 99.1; Note 3.
- F4See Exhibit 99.1; Note 4.
- F5See Exhibit 99.1; Note 5.
- F6See Exhibit 99.1; Note 6.
- F7See Exhibit 99.1; Note 7.
Remarks
Exhibit List: Exhibit 99.1 - Explanation of Responses