SEC Form 3 · accession 0001144204-15-022037
Adaptive Medias, Inc. · ADTM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James Waltz
Director
Period of report
Mar 30, 2015
Accepted (ET)
Apr 9, 2015 · 4:03 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001428397
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | holding | — | — | — | 48,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionF2 | $0.09 | holding | — | — | — | Aug 19, 2013 | Aug 19, 2023 | Common Stock | 200,000 | — | D |
| Stock OptionF3 | $2.25 | holding | — | — | — | Mar 30, 2015 | Mar 30, 2025 | Common Stock | 24,000 | — | D |
Explanation of responses
- F1Shares are subject to forfeiture by the Issuer. Such right of forfeiture shall terminate with respect to one-fourth of the shares on each of the three-month, six-month, nine-month, and one year anniversary of the date of issuance.
- F2The reporting person is a participant in the Company's 2010 Stock Incentive Plan, as amended, and received an option to purchase 200,000 shares of common stock on August 19, 2013. The stock option shall vest as follows: one-twelfth of the option shares shall vest on the nineteenth day of each calendar month beginning on the date of grant.
- F3The reporting person is a participant in the Company's 2010 Stock Incentive Plan, as amended, and received an option to purchase 24,000 shares of common stock on March 30, 2015. The stock option shall vest as follows: one-half of the option shares shall vest on the six month anniversary of the date of grant, and the remaining shares shall vest monthly in equal installments over the subsequent twelve months.