SEC Form 4 · accession 0001571049-15-007797

Semler Scientific, Inc. · SMLR

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Douglas Murphy-Chutorian

Officer — Chief Executive Officer · Director

Period of report

Sep 18, 2015

Accepted (ET)

Sep 21, 2015 · 4:19 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001554859

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
Common Stock Warrant (right to buy)^F1	$4.50	Sep 18, 2015	D	16,390	D	—	Jul 31, 2016	Common Stock	16,390	0	D
Common Stock Warrant (right to buy)^F1	$4.50	Sep 18, 2015	A	16,390	A	—	Jul 31, 2023	Common Stock	16,390	16,390	D
Common Stock Warrant (right to buy)^F2	$4.50	Sep 18, 2015	D	22,517	D	—	Jul 31, 2016	Common Stock	22,517	0	D
Common Stock Warrant (right to buy)^F2	$4.50	Sep 18, 2015	A	22,517	A	—	Jul 31, 2023	Common Stock	22,517	22,517	D
Common Stock Warrant (right to buy)^F3	$4.50	Sep 18, 2015	D	29,890	D	—	Jul 31, 2016	Common Stock	29,890	0	D
Common Stock Warrant (right to buy)^F3	$4.50	Sep 18, 2015	A	29,890	A	—	Jul 31, 2023	Common Stock	29,890	29,890	D
Common Stock Warrant (right to buy)^F4	$4.50	Sep 18, 2015	D	65,452	D	—	Jul 31, 2016	Common Stock	65,452	0	D
Common Stock Warrant (right to buy)^F4	$4.50	Sep 18, 2015	A	65,452	A	—	Jul 31, 2023	Common Stock	65,452	65,452	D
Common Stock Warrant (right to buy)^F5	$4.50	Sep 18, 2015	D	60,000	D	—	Jul 31, 2016	Common Stock	60,000	0	D
Common Stock Warrant (right to buy)^F5	$4.50	Sep 18, 2015	A	60,000	A	—	Jul 31, 2023	Common Stock	60,000	60,000	D
Common Stock Warrant (right to buy)^F6	$4.00	Sep 18, 2015	D	16,875	D	—	Jun 30, 2023	Common Stock	16,875	0	D
Common Stock Warrant (right to buy)^F6	$4.00	Sep 18, 2015	A	16,875	A	—	Jul 31, 2023	Common Stock	16,875	16,875	D
Common Stock Warrant (right to buy)^F7	$2.00	Sep 18, 2015	D	25,000	D	—	Jun 30, 2022	Common Stock	25,000	0	D
Common Stock Warrant (right to buy)^F7	$2.00	Sep 18, 2015	A	25,000	A	—	Jul 31, 2023	Common Stock	25,000	25,000	D

Explanation of responses

F1The two reported transactions involved an amendment of an outstanding warrant, resulting in the deemed cancellation of the "old" warrant and the grant of a replacement warrant. The warrant was originally issued on June 7, 2012.
F2The two reported transactions involved an amendment of an outstanding warrant, resulting in the deemed cancellation of the "old" warrant and the grant of a replacement warrant. The warrant was originally issued on June 7, 2012.
F3The two reported transactions involved an amendment of an outstanding warrant, resulting in the deemed cancellation of the "old" warrant and the grant of a replacement warrant. The warrant was originally issued on August 31, 2012.
F4The two reported transactions involved an amendment of an outstanding warrant, resulting in the deemed cancellation of the "old" warrant and the grant of a replacement warrant. The warrant was originally issued on July 31, 2012.
F5The two reported transactions involved an amendment of an outstanding warrant, resulting in the deemed cancellation of the "old" warrant and the grant of a replacement warrant. The warrant was originally issued on July 31, 2013.
F6The two reported transactions involved an amendment of an outstanding warrant, resulting in the deemed cancellation of the "old" warrant and the grant of a replacement warrant. The warrant was originally issued on June 7, 2012.
F7The two reported transactions involved an amendment of an outstanding warrant, resulting in the deemed cancellation of the "old" warrant and the grant of a replacement warrant. The warrant was originally issued on June 7, 2012.