SEC Form 4 · accession 0001378706-16-000186
AMERICAN DG ENERGY INC · ADGE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John Hatsopoulos
Officer — Co-Chief Executive Officer · Director
Period of report
May 4, 2016
Accepted (ET)
May 6, 2016 · 9:07 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001378706
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6% Senior Unsecured Convertible DebentureF1,F4 | $2.11 | May 4, 2016 | J | 1,137,441 | D | May 23, 2011 | May 25, 2018 | Common Stock | 1,137,441 | 0 | D |
Explanation of responses
- F1Derivative security is a 6% Senior Unsecured Convertible Debentures Due 2018 in the principal amount of $2,400,000 with a conversion price of $2.11.
- F2On May 4, 2016, Mr. Hatsopoulos swapped his 6% Senior Unsecured Convertible Debenture due 2018 with the Issuer for 3,798,261 shares of common stock of the Issuer's subsidiary, EuroSite Power Inc.
- F3This transaction should also be described using transaction code "K" because it is a swap.
- F4The exchange rate for the swap was $0.575.