SEC Form 5 · accession 0001354488-16-006660
Sincerity Applied Materials Holdings Corp. · SINC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Maarten van der Sanden
Officer — COO, Secretary
Period of report
Dec 31, 2015
Accepted (ET)
Mar 24, 2016 · 11:09 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001532595
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Sep 16, 2015 | S | 76,486 | $0.20 | A | 53,514 | D | |
| Common StockF1 | holding | — | — | — | 1,343,533 | I | By Sanden Beheer B.V. |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF3,F2 | — | Nov 5, 2015 | A | 16,233 | A | — | — | Common Stock | 16,233 | 16,233 | D |
Explanation of responses
- F1Sanden Beheer B.V. owns the reported securities directly. The reporting person has sole voting and investment power with respect to securities owned by Sanden Beheer B.V. and may be deemed to have an indirect interest in the reported securities.
- F2The issuer entered into the Restricted Stock Unit Agreement with the reporting person on November 5, 2015 pursuant to the issuer's 2013 Equity Incentive Plan, under which the reporting person was awarded 16,233 restricted stock units (the "Units"). Each Unit represents a right to receive one share of common stock, par value $0.001, of the issuer upon vesting.
- F3Contingent upon continuous employment of the reporting person with the issuer, the Units will become fully vested on November 5, 2016.