SEC Form 4 · accession 0001209191-16-123555
Senseonics Holdings, Inc. · SENS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Douglas A Roeder
Director · 10% Owner
Period of report
May 24, 2016
Accepted (ET)
May 26, 2016 · 4:22 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001616543
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)F2,F1,F3 | $3.43 | May 24, 2016 | A | 54,629 | A | — | May 23, 2026 | Common Stock | 54,629 | 54,629 | D |
Explanation of responses
- F1The exercise price is equal to the closing price of the Issuer's common stock on the NYSE-MKT on the date of grant, May 24, 2016.
- F2This grant was made as compensation for the reporting person's service on the Issuer's board of directors. Under the Issuer's non-employee director compensation policy, each non-employee director who continues to serve as a member of the Issuer's board of directors is eligible to receive an annual stock option grant following each annual meeting of the Issuer's stockholders. The Issuer is not holding an annual meeting of stockholders in 2016 and the board approved this grant in place of the annual grant that the reporting person would have received under the Issuer's non-employee director compensation policy. The number shares underlying the option is equal to a Black Scholes option value of $106,500.
- F3The shares underlying the option will vest in full on the earlier of the date of the Issuer's 2017 Annual Meeting of Stockholders or the one year anniversary of the date of grant, subject to the reporting person's continuous service through the vesting date.
Remarks
Exhibit 24.1 - Power of Attorney