SEC Form 4 · accession 0001596771-16-000086
Nuwellis, Inc. · NUWE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Molly Wade
Officer — Vice President
Period of report
Jan 15, 2016
Accepted (ET)
Jan 20, 2016 · 5:31 pm EST
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 StockF1 | Jan 15, 2016 | A | 29,600 | $0.00 | A | 42,316 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Incentive Stock Option (right to buy)F2 | $1.04 | Jan 15, 2016 | A | 44,400 | A | — | Jan 15, 2026 | Common Stock | 44,400 | 44,400 | D |
Explanation of responses
- F1Consists of restricted stock unit awards, the shares underlying which will vest in 12 equal consecutive monthly increments, so that all of the shares will be vested on the one-year anniversary of the date of grant.
- F2The options will vest as follows: 25% of the options will vest on the one-year anniversary of the date of grant; the remaining options will vest in 36 equal consecutive monthly increments thereafter, so that all of the options will be vested on the four-year anniversary of the date of grant.