SEC Form 4 · accession 0001494650-18-000006
OptiNose, Inc. · OPTN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Larry G Pickering
Director
Period of report
Feb 5, 2018
Accepted (ET)
Feb 7, 2018 · 4:11 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001494650
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Feb 5, 2018 | M | 43,318 | $1.63 | A | 371,075 | D | |
| Common Stock | Feb 5, 2018 | M | 11,281 | $5.14 | A | 382,356 | 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,F2 | $1.63 | Feb 5, 2018 | M | 43,318 | D | — | Feb 11, 2021 | Common Stock | 43,318 | 0 | D |
| Stock Option (Right to Buy)F1,F3 | $5.14 | Feb 5, 2018 | M | 11,281 | D | — | Dec 20, 2026 | Common Stock | 11,281 | 24,817 | D |
Explanation of responses
- F1Exercise price and number of option shares have been adjusted to reflect the Issuer's 2.8879-for-1 stock split of its issued and outstanding shares of common stock effected on October 10, 2017.
- F2All 43,318 options are exercisable.
- F3The option vests and becomes exercisable over a four-year period commencing on September 1, 2016. Twenty-five percent (25%) of the option vests and becomes exercisable on September 1, 2017, and the balance vests in equal monthly installments (rounded down to the nearest whole share) over the remaining three years of the four-year period, subject to continued service with the Issuer.