SEC Form 4 · accession 0001104659-16-121910
Conformis Inc · CFMS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Philipp Lang
Officer — President and CEO · Director
Period of report
May 16, 2016
Accepted (ET)
May 18, 2016 · 6:23 pm EDT
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 | May 16, 2016 | M | 55,555 | $1.10 | A | 174,343 | D | |
| Common Stock | May 17, 2016 | M | 69,445 | $1.10 | A | 243,788 | D | |
| Common StockF1 | holding | — | — | — | 930,904 | I | See footnote. | |
| Common StockF2 | holding | — | — | — | 12,498 | 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)F3 | $1.10 | May 16, 2016 | M | 55,555 | D | — | Dec 22, 2016 | Common Stock | 55,555 | 69,445 | D |
| Stock Option (right to buy)F3 | $1.10 | May 17, 2016 | M | 69,445 | D | — | Dec 22, 2016 | Common Stock | 69,445 | 0 | D |
Explanation of responses
- F1The shares are held directly by the NP Irrevocable Trust udt dated 12/28/12. The Reporting Person's immediate family members are beneficiaries of the NP Irrevocable Trust udt dated 12/28/12, and the Reporting Person disclaims beneficial ownership of all shares except to the extent of his pecuniary interest therein.
- F2The shares are held directly by the Reporting Person's children.
- F3This option is fully vested.