SEC Form 5 · accession 0001447277-17-000001
COPsync, Inc. · COYN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Luisa Ingargiola
Director
Period of report
Dec 31, 2016
Accepted (ET)
Feb 14, 2017 · 7:07 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001383154
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to Purchase Common StockF1,F3,F2 | $1.80 | May 23, 2016 | A | 19,000 | A | Jan 4, 2017 | Jan 3, 2026 | Common Stock | 19,000 | 0 | D |
Explanation of responses
- F1Date of Board approval.
- F2The stockholders of COPsync, Inc. (the "Company") approved an amendment to the Company's 2009 Long-Term Incentive Plan (the "Plan) which, in part, increased the number of automatic stock option grants issued to outside Board members upon their initial election or appointment to the Board from 1,000 to 20,000 shares. This amendment was made retroactive to January 1, 2016. Ms. Ingargiola was originally issued 1,000 options upon her appointment to the Board on February 24, 2016. This additional grant for 19,000 options reconciles that issuance with the above-mentioned stockholder approved amendment.
- F3Due to the vesting provisions in Ms. Ingargiola's stock option grant, no portion of her stock options were vested, and thus beneficially owned, at December 31, 2016.