SEC Form 4 · accession 0001144204-16-097073
DarioHealth Corp. · DRIO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Shmuel Farhi
10% Owner
Period of report
Mar 8, 2016
Accepted (ET)
Apr 28, 2016 · 4:06 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001533998
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 8, 2016 | P$0 | 144,555 | — | A | 329,742 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant (Series A)F1 | $4.50 | Mar 8, 2016 | P | 173,466 | A | Mar 8, 2016 | Mar 8, 2021 | Common Stock | 173,466 | 173,466 | D |
Explanation of responses
- F1The reported securities consist of units purchased by the reporting person for $4.50 per unit.