SEC Form 4 · accession 0001175933-15-000001
LIBERATOR MEDICAL HOLDINGS, INC. · LBMH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark A Libratore
Officer — President and CEO · Director
Period of report
Dec 4, 2015
Accepted (ET)
Dec 4, 2015 · 4:17 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000017485
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Dec 4, 2015 | A | 75,000 | $1.32 | A | 19,785,867 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy) | $1.32 | Dec 4, 2015 | M | 75,000 | A | Jul 1, 2012 | Dec 27, 2015 | Common Stock | 75,000 | 0 | D |