SEC Form 4/A · accession 0001571049-16-011069
Semler Scientific, Inc. · SMLR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
William H Chang
10% Owner
Period of report
Jan 15, 2016
Accepted (ET)
Jan 25, 2016 · 4:33 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)F2,F1 | $1.75 | Jan 15, 2016 | A | 114,286 | A | — | Jan 15, 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.
- F2This amendment is filed to correct the previously reported number of shares subject to the warrants, which erroneously inverted two numbers. The correct amount is 114,286.