SEC Form 4 · accession 0001624625-17-000001
PROLUNG INC · LUNG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert W Raybould
Director · Other
Period of report
Aug 24, 2017
Accepted (ET)
Aug 29, 2017 · 5:47 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001541884
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy) | $1.00 | Aug 24, 2017 | A | 20,000 | A | Aug 24, 2017 | Aug 24, 2027 | Common Stock | 20,000 | 20,000 | D |
| Employee Stock Option (right to buy)F1 | $1.00 | Aug 24, 2017 | A | 30,000 | A | — | Aug 24, 2027 | Common Stock | 30,000 | 30,000 | D |
Explanation of responses
- F1The option vests in four equal quarterly installments: September 30, 2017; December 31, 2017; March 31, 2017; and June 30, 2018.