SEC Form 4 · accession 0001404844-15-000002
LIBERATOR MEDICAL HOLDINGS, INC. · LBMH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert Joseph Davis
Officer — Chief Financial Officer
Period of report
Jun 18, 2015
Accepted (ET)
Jun 22, 2015 · 3:30 pm EDT
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 | Jun 18, 2015 | M | 25,000 | $1.20 | A | 770,000 | 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) | $1.20 | Jun 18, 2015 | M | 25,000 | D | Jul 1, 2001 | Dec 29, 2015 | Common Stock | 25,000 | 0 | D |