SEC Form 4 · accession 0001209191-15-030027

Enerpulse Technologies, Inc. · ENPT

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Louis S Camilli

Officer — Pres, CTO & Secretary

Period of report

Oct 15, 2013

Accepted (ET)

Mar 27, 2015 · 7:07 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001495899

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
Employee Stock Option (Right to Buy)^F1	$3.00	Oct 15, 2013	A	54,901	A	—	Oct 15, 2023	Common Stock	54,901	54,901	D
Employee Stock Option (Right to Buy)^F4,F2,F3	$0.75	Jun 30, 2014	A	89,495	A	—	Aug 6, 2025	Common Stock	89,495	89,495	D
Employee Stock Option (Right to Buy)^F4,F5,F6,F7	$1.0056	Jun 30, 2014	D	89,495	D	—	Aug 5, 2015	Common Stock	89,495	0	D
Employee Stock Option (Right to Buy)^F4,F2,F7	$0.75	Jun 30, 2014	A	37,339	A	—	Dec 15, 2016	Common Stock	37,339	37,339	D
Employee Stock Option (Right to Buy)^F4,F5,F8,F7	$1.0056	Jun 30, 2014	D	37,339	D	—	Dec 15, 2016	Common Stock	37,339	0	D
Employee Stock Option (Right to Buy)^F4,F2,F7	$0.75	Jun 30, 2014	A	29,832	A	—	Dec 4, 2022	Common Stock	29,832	29,832	D
Employee Stock Option (Right to Buy)^F4,F5,F9,F7	$1.0056	Jun 30, 2014	D	29,832	D	—	Dec 4, 2022	Common Stock	29,832	0	D
Employee Stock Option (Right to Buy)^F10,F2	$0.75	Jun 30, 2014	A	54,901	A	—	Oct 15, 2023	Common Stock	54,901	54,901	D
Employee Stock Option (Right to Buy)^F10,F1	$3.00	Jun 30, 2014	D	54,901	D	—	Oct 15, 2023	Common Stock	54,901	0	D
Employee Stock Option (Right to Buy)^F11	$0.50	Aug 6, 2014	A	183,204	A	—	Aug 6, 2024	Common Stock	183,204	183,204	D
6% Senior Secured Convertible Note^F13,F12	$0.20	Feb 20, 2015	P	—	A	—	Feb 20, 2018	Common Stock	200,000	—	D
Warrant (Right to Buy)^F13,F14	$0.20	Feb 20, 2015	P	100,000	A	—	Feb 20, 2020	Common Stock	100,000	100,000	D

Explanation of responses

F1The shares subject to the option shall vest and become exercisable ratably in annual installments over three years beginning on October 15, 2014 until fully vested on October 15, 2016.
F10The reporting person agreed to cancellation of an option granted to him on October 15, 2013, in exchange for a new option having a lower exercise price.
F11The shares subject to the option shall vest and become exercisable ratably in annual installments over three years beginning on August 6, 2015 until fully vested on August 6, 2017.
F12All amounts due under the 6% senior secured convertible note are convertible at any time, in whole or in part, at the option of the reporting person into shares of common stock at a fixed, initial conversion price of $0.20 per share, which is subject to adjustment for stock splits, stock dividends, combinations, or similar events or to prevent dillution.
F13The note and warrant were purchased by the reporting person for the aggregate purchase price of $40,000.
F14The warrant is exercisable at any time on or after the date of issuance at an initial exercise price equal to $0.20 per share, subject to adjustment for stock splits, stock dividends, combinations, or similar events or to prevent dillution.
F2The shares subject to the option are 100% vested and excercisable.
F3The expiration date of the new option has been extended from the expiration date of the original option that was issued on September 4, 2013.
F4The reporting person agreed to cancellation of an option issued to him on September 4, 2013, in exchange for a new option having a lower exercise price.
F5The exercise price was previously incorrectly reported.
F622,373 shares subject to the option vested on August 5, 2010. The remaining shares subject to the option shall vest and become exercisable upon change in control of the Issuer.
F7The expiration date of the option was previously incorrectly reported.
F8The shares subject to the cancelled option would have vested and became exercisable ratably in annual installments over three years beginning on December 15, 2011 until fully vested on December 15, 2014.
F9The shares subject to the option shall vest and become exercisable ratably in annual installments over three years beginning on December 4, 2012 until fully vested on December 4, 2015.