SEC Form 4 · accession 0001571049-16-010485
Semler Scientific, Inc. · SMLR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Wayne T Pan
Director
Period of report
Dec 31, 2015
Accepted (ET)
Jan 4, 2016 · 8:34 pm EST
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F1 | $2.56 | Dec 31, 2015 | A | 6,583 | A | — | Dec 30, 2025 | Common Stock | 6,583 | 6,583 | D |
Explanation of responses
- F1This fully vested option was granted under the issuer's 2014 Stock Incentive Plan.