SEC Form 4/A · accession 0001144204-15-072354
Summit Healthcare REIT, Inc
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Elizabeth A. Pagliarini
Officer — Chief Financial Officer
Period of report
Dec 17, 2015
Accepted (ET)
Dec 22, 2015 · 5:36 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) 33,000 commencing on December 17, 2015 (b) and the remaining 67,000 in 24 equal monthly installments commencing on January 1, 2016.
Remarks
This Form 4A corrects Footnote 2 in the original Form 4 dated and filed December 21, 2015 with respect to the number of options exercisable, previously reported as (a) 33,333 commencing on December 17, 2015 (b) and the remaining 66,667 in 24 equal monthly installments commencing on January 1, 2016.