SEC Form 4 · accession 0001104659-16-102309
Conformis Inc · CFMS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daniel Steines
Officer — Chief Technology Officer
Period of report
Mar 1, 2016
Accepted (ET)
Mar 3, 2016 · 5:17 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001305773
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Mar 1, 2016 | M | 50,000 | $0.60 | A | 211,915 | D | |
| Common StockF1 | holding | — | — | — | 130,000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F2 | $0.60 | Mar 1, 2016 | M | 50,000 | D | — | Sep 11, 2016 | Common Stock | 50,000 | 0 | D |
Explanation of responses
- F1The shares are held directly by the Steines 2011 Family Trust. The Reporting Person's children are beneficiaries of the Steines 2011 Family Trust, and the Reporting Person disclaims beneficial ownership of all shares except to the extent of his pecuniary interest therein.
- F2This option is fully vested