SEC Form 4 · accession 0001289340-16-000155
Stereotaxis, Inc. · STXS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Fred A Middleton
Director
Period of report
Sep 29, 2016
Accepted (ET)
Oct 3, 2016 · 5:44 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001289340
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Convertible Preferred StockF1,F2,F3 | $0.65 | Sep 29, 2016 | P | 100 | A | — | — | Common Stock | 153,846 | 100 | D |
| Common Stock Warrant (right to buy)F1,F5 | $0.70 | Sep 29, 2016 | J | 153,846 | A | Sep 29, 2016 | Sep 29, 2021 | Common Stock | 153,846 | 153,846 | D |
Explanation of responses
- F1Initial conversion/exercise price. The conversion/exercise price is subject to adjustment.
- F2The Series A convertible preferred stock is convertible at the election of the holder at any time and has no expiration date.
- F3The 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.
- F4The warrants were acquired in connection with the purchase of Series A convertible preferred stock.
- F5The number of shares is based on the initial exercise price of $.70. The exercise price is subject to adjustment.