SEC Form 4 · accession 0001144204-15-001885
Q/C TECHNOLOGIES, INC. · QCLS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Raymond Francis Akers Jr.
Officer — Executive Chairman, Secretary · Director
Period of report
Jan 9, 2015
Accepted (ET)
Jan 12, 2015 · 6:07 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001321834
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 9, 2015 | A | 70,000 | $0.00 | A | 70,000 | D | |
| Common StockF1 | Jan 9, 2015 | G | 70,000 | $0.00 | D | 70,000 | I | Akers Family Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options to purchase common stockF2 | $5.50 | Jan 12, 2015 | G | 40,000 | D | Jun 10, 2014 | Jun 10, 2019 | Common Stock | 40,000 | 40,000 | I |
Explanation of responses
- F1On January 9, 2015, pursuant to the Company's Amended and Restated 2013 Incentive Stock and Award Plan, Dr. Raymond F. Akers, Jr. was granted 70,000 shares of the Company's restricted common stock (the "Shares"). Upon receipt, Dr. Akers gifted the Shares to the Akers Family Trust, a trust to which he is not a named beneficiary.
- F2On January 12, 2015 Dr. Akers also gifted 40,000 optons to purchase common stock, originally granted on June 10, 2014, to the Akers Family Trust.