SEC Form 4 · accession 0001289340-16-000151

Stereotaxis, Inc. · STXS

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Sep 29, 2016

Accepted (ET)

Oct 3, 2016 · 5:32 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001289340

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1	Sep 29, 2016	A	20,000	$0.00	A	20,000	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Series A Convertible Preferred Stock^F2,F3,F4	$0.65	Sep 29, 2016	P	4,000	A	—	—	Common Stock	6,153,846	4,000	I
Common Stock Warrant (right to buy)^F2,F6	$0.70	Sep 29, 2016	J	6,153,846	A	Sep 29, 2016	Sep 29, 2021	Common Stock	6,153,846	6,153,846	I

F1Grant of restricted share units. Each restricted share unit represents a right to receive one share of common stock. The restricted share units vest over a period of two (2) years with 50% vesting on the first anniversary of the date of the grant and the remaining 50% vesting on the second anniversary of the date of the grant.
F2Initial conversion/exercise price. The conversion/exercise price is subject to adjustment.
F3The Series A convertible preferred stock is convertible at the election of the holder at any time and has no expiration date.
F4The number of shares is based on the initial conversion price of $.65. The conversion price is subject to adjustment. For purposes of determining the number of shares of common stock upon conversion, the value of the convertible preferred stock will be increased by the amount of dividends at a rate of 6% per annum, which will be cumulative and accrue daily from the date of issuance on the $1,000 stated value.
F5The warrants were acquired in connection with the purchase of Series A convertible preferred stock.
F6The number of shares is based on the initial exercise price of $.70. The exercise price is subject to adjustment.