SEC Form 4 · accession 0001596771-15-000061
Nuwellis, Inc. · NUWE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul Buckman
Director
Period of report
Aug 11, 2015
Accepted (ET)
Aug 13, 2015 · 10:49 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001506492
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Aug 11, 2015 | P | 10,000 | $2.55 | A | 24,012 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-qualified Stock Option (right to buy)F1,F2 | $6.23 | holding | — | — | — | — | Aug 17, 2021 | Common Stock | 11,685 | 11,685 | D |
Explanation of responses
- F1On September 23, 2014, the Board supplemented the Option Agreement for the insider to denominate the option exercise currency as US Dollars rather than Australian Dollars as originally denominated upon issuance. The options were originally reported on Form 3 in US currency, as converted from the Australian Dollar amount of the exercise price.
- F2The option vested as to 1/48th of the shares each month with (i) 5 months vesting on August 18, 2011 and (ii) the remaining shares vesting equally for 43 consecutive months beginning September 17, 2011.