SEC Form 5 · accession 0001186532-16-000001
COPsync, Inc. · COYN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ronald A Woessner
Officer — Chief Executive Officer · Director
Period of report
Dec 31, 2015
Accepted (ET)
Jan 28, 2016 · 4:53 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001383154
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Oct 14, 2015 | M | 10,000 | $5.00 | A | 0 | D | |
| Common Stock | Oct 14, 2015 | M | 24,107 | $5.00 | A | 0 | D | |
| Common Stock | Oct 14, 2015 | M | 8,000 | $5.00 | A | 0 | D | |
| Common Stock | Oct 14, 2015 | M | 12,000 | $5.00 | A | 0 | D | |
| Common StockF3 | Nov 18, 2015 | P | 30,000 | $3.49 | A | 150,106 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant | $5.00 | Oct 14, 2015 | M | 10,000 | D | May 9, 2011 | May 31, 2016 | Common Stock | 10,000 | 0 | D |
| Convertible Note | $5.00 | Oct 14, 2015 | M | 24,107 | D | Feb 7, 2013 | Mar 31, 2016 | Common Stock | 24,107 | 0 | D |
| Convertible Note | $5.00 | Oct 14, 2015 | M | 8,000 | D | Aug 12, 2013 | Mar 31, 2016 | Common Stock | 8,000 | 0 | D |
| Convertible Note | $5.00 | Oct 14, 2015 | M | 12,000 | D | Nov 25, 2013 | Mar 31, 2016 | Common Stock | 12,000 | 0 | D |
| Warrant | $3.125 | Nov 18, 2015 | P | 30,000 | A | Nov 18, 2015 | Nov 18, 2020 | Common Stock | 30,000 | 0 | D |
| Stock OptionF4 | $2.19 | Dec 29, 2015 | A | 40,000 | A | Dec 29, 2016 | Dec 29, 2025 | Common Stock | 40,000 | 70,000 | D |
Explanation of responses
- F1Shares issued pursuant to a Warrant exercise.
- F2Shares issued pursuant to a Convertible Note conversion.
- F3138,106 shares held by Mr. Woessner directly; 12,000 shares held by Mr. Woessner's spouse.
- F4Mr. Woessner received options to purchase 40,000 shares of our common stock on December 29, 2015. The term of the stock options is ten years, with a three year vesting period, 33% vesting on the one-year anniversary of the grant date, and the remainder vesting ratably over the next eight quarters.