SEC Form 4 · accession 0001140361-15-043324
Symmetry Surgical Inc. · SSRG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David C Milne
Officer — Chief Admin Officer, SVP & GC
Period of report
Dec 1, 2015
Accepted (ET)
Dec 2, 2015 · 11:52 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001616101
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 1, 2015 | A | 55,117 | $0.00 | A | 161,090 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These shares were granted pursuant to the Company's 2014 Equity Incentive Plan, the terms of which were filed in the Company's filing on Form S-4 on October 31, 2014. These shares were granted in exchange for Mr. Milne's forfeiture of an opportunity to earn $440,933 in cash compensation pursuant to his original incentive agreement, as is more fully described in the Form 8-k filed on today's date. These shares will be earned, if at all, if the Company achieves certain established performance metrics over the following three (3) years. If a metric is achieved and a tranche is earned, then that particular tranche will vest three (3) years thereafter. Any shares not earned on the third anniversary of the date of grant will be forfeited.