SEC Form 4 · accession 0001555805-16-000015
Omnitek Engineering Corp · OMTK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gary S Maier
Director
Period of report
Dec 21, 2016
Accepted (ET)
Dec 21, 2016 · 4:55 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 | Dec 21, 2016 | P | 10,000 | $0.22 | A | 10,000 | I | by spouse |
| Common Stock | holding | — | — | — | 45,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant to Purchase Common Stock | $3.88 | holding | — | — | — | Apr 9, 2012 | Apr 8, 2017 | Common Stock | 20,000 | 20,000 | D |
| Common Stock Option | $1.79 | holding | — | — | — | Aug 3, 2012 | Aug 2, 2017 | Common Stock | 25,000 | 45,000 | D |
| Common Stock Option | $1.81 | holding | — | — | — | Aug 3, 2013 | Aug 2, 2018 | Common Stock | 25,000 | 70,000 | D |
| Common Stock Option | $2.25 | holding | — | — | — | Aug 4, 2014 | Aug 3, 2019 | Common Stock | 25,000 | 95,000 | D |
| Common Stock Option | $0.85 | holding | — | — | — | Aug 4, 2015 | Aug 3, 2022 | Common Stock | 25,000 | 120,000 | D |
| Common Stock Option | $0.26 | holding | — | — | — | Apr 15, 2016 | Apr 14, 2023 | Common Stock | 50,000 | 170,000 | D |