SEC Form 4 · accession 0001571049-16-011068
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
Jan 21, 2016
Accepted (ET)
Jan 25, 2016 · 4:32 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock Warrant (right to buy)F1 | $1.75 | Jan 21, 2016 | A | 114,286 | A | — | Jan 21, 2018 | Common Stock | 114,286 | 114,286 | I |
Explanation of responses
- F1The warrants are currently exercisable, although the Reporting Person may not exercise the warrants absent receipt of stockholder approval if upon exercise, the Reporting Person would beneficially own in excess of 19.99% of the Issuer's common stock.