SEC Form 4/A · accession 0001235802-15-000007
Kips Bay Medical, Inc. · KIPS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Arch C Smith
Director
Period of report
Dec 10, 2014
Accepted (ET)
Jan 6, 2015 · 4:22 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001460198
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F1 | $0.14 | Dec 10, 2014 | A | 45,000 | A | Dec 10, 2015 | Dec 9, 2024 | Common Stock | 45,000 | 45,000 | D |
Explanation of responses
- F1This Form 4 has been amended to correct the exercise price. The exercise price previously reported on the original Form 4 was the closing price as quoted on the OTCQB and should have been the average of the closing bid and closing ask prices as reported on the OTCQB.