SEC Form 4 · accession 0001144204-17-005355
DarioHealth Corp. · DRIO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Zvi Ben-David
Officer — Chief Financial Officer
Period of report
Jan 30, 2017
Accepted (ET)
Feb 1, 2017 · 4:06 pm EST
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 Stock | Jan 30, 2017 | A | 74,896 | $0.00 | A | 365,976 | D | |
| Common StockF1 | Jan 30, 2017 | A | 6,639 | $0.00 | A | 372,615 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F2 | $3.202 | Jan 30, 2017 | A | 31,823 | A | — | Jan 30, 2023 | Common Stock | 31,823 | 31,823 | D |
Explanation of responses
- F1The reporting person was awarded such securities in exchange for waiving compensation owed for the first quarter of 2017 in the amount of $21,258.77.
- F2The option vests in twelve equal quarterly installments commencing on January 30, 2017.