SEC Form 5 · accession 0001415889-19-000143
Sensus Healthcare, Inc. · SRTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anthony Benedict Petrelli
Director
Period of report
Dec 31, 2018
Accepted (ET)
Feb 8, 2019 · 4:11 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001494891
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 11, 2018 | M | 26,614 | $4.58 | A | 58,627 | D | |
| Common StockF1 | Jan 11, 2018 | F | 22,161 | $5.50 | D | 36,466 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock Warrants | $4.58 | Jan 11, 2018 | M | 26,614 | D | Feb 1, 2013 | Feb 1, 2018 | Common Stock | 26,614 | 0 | D |
Explanation of responses
- F1Cashless exercise of warrants.