SEC Form 4 · accession 0001504292-15-000002
LIBERATOR MEDICAL HOLDINGS, INC. · LBMH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tyler Shaw Wick
Director
Period of report
Oct 20, 2015
Accepted (ET)
Oct 21, 2015 · 4:48 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 | Oct 20, 2015 | A | 50,000 | $1.50 | A | 193,763 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock | $1.50 | Oct 20, 2015 | M | 50,000 | A | Oct 21, 2012 | Oct 21, 2015 | Common Stock | 50,000 | 11,250 | D |