SEC Form 4 · accession 0001140361-16-048165
Lifeloc Technologies, Inc · LCTC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Wayne Willkomm
Officer — CEO and President · Director
Period of report
Jan 18, 2016
Accepted (ET)
Jan 20, 2016 · 3:11 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001493137
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 Options (Right to Buy)F1 | $8.83 | Jan 18, 2016 | A | 50,000 | A | — | — | Common Stock | 50,000 | 50,000 | D |
Explanation of responses
- F1The stock option was granted under the issuer's 2013 Stock Option Plan and is subject to performance-based vesting based on the achievement of certain performance conditions set forth in the employment agreement between the issuer and the reporting person.