SEC Form 4 · accession 0001624625-18-000002
PROLUNG INC · LUNG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert W Raybould
Director
Period of report
Dec 15, 2017
Accepted (ET)
Jan 2, 2018 · 5:26 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001541884
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 15, 2017 | G | 18,750 | $0.00 | D | 172,253 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The amount does not include 12,500 shares owned indirectly through Coordinated Properties Retirement Plan. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
Remarks
Amounts have been adjusted to reflect an 8 into 1 reverse stock split on October 25, 2017.