SEC Form 3 · accession 0001209191-19-000689
CRH Medical Corp · CRHM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anthony F Holler
Director
Period of report
Jan 1, 2019
Accepted (ET)
Jan 3, 2019 · 11:52 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001461119
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Shares | holding | — | — | — | 382,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F1 | $0.60 | holding | — | — | — | — | Dec 12, 2023 | Common Shares | 25,000 | — | D |
| Restricted Share UnitF3,F2 | $0.00 | holding | — | — | — | — | Jun 28, 2019 | Common Shares | 16,000 | — | D |
Explanation of responses
- F1Stock Options are 100% vested and can be exercised at any time
- F2Restricted Share Unit vest on or before expiration date
- F3Each Restricted Share Unit represents the right to receive one Common Share upon settlement