SEC Form 5 · accession 0001483997-17-000002
Omnitek Engineering Corp · OMTK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Janice M Quigley
Officer — Vice President · Director
Period of report
Dec 31, 2016
Accepted (ET)
Feb 22, 2017 · 6:03 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001404804
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 175,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock Option | $2.56 | holding | — | — | — | Nov 1, 2012 | Oct 31, 2019 | Common Stock | 50,000 | 50,000 | D |
| Common Stock Option | $0.286 | holding | — | — | — | Apr 15, 2016 | Apr 14, 2023 | Common Stock | 50,000 | 100,000 | D |