SEC Form 4 · accession 0001193125-26-386098
Blue Laser Fusion, Inc.
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Vanessa Ann Truong
Officer — See Remarks
Period of report
Sep 4, 2026
Accepted (ET)
Sep 9, 2026 · 11:19 am EDT
Rule 10b5-1 plan
box not checked
Issuer CIK
0001938570
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 4, 2026 | A | 63,137 | — | A | 63,137 | D |
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 | $2.10 | Sep 4, 2026 | A | 63,137 | A | — | Apr 27, 2036 | Common Stock | 63,137 | 63,137 | D |
Explanation of responses
- F1Received in exchange for 100,000 restricted shares of common stock of Blue Laser Subsidiary Inc. (f/k/a Blue Laser Fusion Inc., "Pre-Merger BLF") in connection with the merger of Blue Laser Fusion Acquisition Co., a subsidiary of the issuer, with and into Pre-Merger BLF (the "Merger") pursuant to the Agreement and Plan of Merger, dated September 4, 2026.
- F2Received in the Merger in exchange for an option to acquire 100,000 shares of common stock of Pre-Merger BLF for $1.32 per share. The option vests in 48 equal monthly installments beginning on April 28, 2027.
Remarks
Chief Accounting Officer and Treasurer