SEC Form 4 · accession 0001144204-15-072001
Summit Healthcare REIT, Inc
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Peter A. Elwell
Officer — Chief Investment Officer
Period of report
Dec 17, 2015
Accepted (ET)
Dec 21, 2015 · 5:41 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001310383
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Incentive Stock OptionF1,F2 | $1.72 | Dec 17, 2015 | A | 100,000 | A | — | Dec 16, 2025 | Common Stock | 100,000 | 100,000 | D |
Explanation of responses
- F1The options were granted pursuant to the Summit Healthcare REIT, Inc. 2015 Omnibus Incentive Plan.
- F2The options are exercisable as follows: (a) 33,333 commencing on December 17, 2015 (b) and the remaining 66,667 in 24 equal monthly installments commencing on January 1, 2016.