SEC Form 4 · accession 0001144204-18-012275
Semler Scientific, Inc. · SMLR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William H Chang
10% Owner
Period of report
Dec 7, 2017
Accepted (ET)
Mar 1, 2018 · 4:40 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001554859
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Dec 7, 2017 | X | 114,286 | $1.75 | A | 1,079,592 | I | By Chang Family Trust |
| Common Stock | Dec 7, 2017 | X | 114,286 | $1.75 | A | 1,193,878 | I | By Chang Family Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock Warrant (right to buy) | $1.75 | Dec 7, 2017 | X | 114,286 | D | Jan 15, 2016 | Jan 15, 2018 | Common Stock | 114,286 | 0 | I |
| Common Stock Warrant (right to buy) | $1.75 | Dec 7, 2017 | X | 114,286 | D | Jan 21, 2016 | Jan 21, 2018 | Common Stock | 114,286 | 0 | I |