SEC Form 5 · accession 0001378706-17-000006
AMERICAN DG ENERGY INC · ADGE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Deanna M Petersen
Director
Period of report
Dec 31, 2016
Accepted (ET)
Mar 15, 2017 · 4:54 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F1,F2 | $0.32 | Apr 5, 2016 | A | 100,000 | A | Apr 5, 2017 | Apr 5, 2026 | Stock Option (right to buy) | 100,000 | 100,000 | D |
Explanation of responses
- F125% of these options vest on each of the 4 subsequent anniversaries of the grant date.
- F2This Form 5 is being filed late due to a mistake by the Company.