SEC Form 4 · accession 0001571049-18-000322
Semler Scientific, Inc. · SMLR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daniel E Conger
Officer — Vice President, Finance
Period of report
Jun 1, 2018
Accepted (ET)
Jun 4, 2018 · 6:22 pm EDT
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 | Jun 1, 2018 | M | 6,500 | $0.52 | A | 6,500 | D | |
| Common Stock | Jun 1, 2018 | M | 6,500 | $0.52 | A | 13,000 | D | |
| Common Stock | Jun 1, 2018 | M | 6,500 | $0.52 | A | 19,500 | D | |
| Common Stock | Jun 1, 2018 | M | 10,000 | $0.52 | A | 29,500 | D | |
| Common StockF1 | Jun 1, 2018 | S | 29,500 | $12.00 | D | 0 | D |
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)F2 | $0.52 | Jun 1, 2018 | M | 6,500 | D | — | Nov 1, 2020 | Common Stock | 6,500 | 0 | D |
| Stock Option (Right to Buy)F2 | $0.52 | Jun 1, 2018 | M | 6,500 | D | — | Jun 10, 2021 | Common Stock | 6,500 | 0 | D |
| Stock Option (Right to Buy)F2 | $0.52 | Jun 1, 2018 | M | 6,500 | D | — | Jan 5, 2022 | Common Stock | 6,500 | 0 | D |
| Stock Option (Right to Buy)F2 | $0.52 | Jun 1, 2018 | M | 10,000 | D | — | Nov 21, 2022 | Common Stock | 10,000 | 0 | D |
Explanation of responses
- F1The price reported is a weighted average price. The shares were sold at prices ranging from $12.00 to $12.04. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.
- F2These options were granted pursuant to the Issuer's 2007 Key Person Stock Option Plan and are fully vested.