SEC Form 4 · accession 0001171843-17-003271
SYNTHESIS ENERGY SYSTEMS INC · SYMX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
DeLome Fair
Officer — Chief Executive Officer · Director
Period of report
May 17, 2017
Accepted (ET)
May 23, 2017 · 4:15 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001375063
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F1 | $0.82 | May 17, 2017 | A | 104,755 | A | — | May 1, 2027 | Common Stock | 104,755 | 104,755 | D |
Explanation of responses
- F1This option was issued to the reporting person in lieu of $50,000 of base salary earned for the period from May 1, 2017 to October 31, 2017.