SEC Form 4 · accession 0001493152-26-041949
Blue Laser Fusion, Inc.
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey B. Shealy
Director
Period of report
Sep 4, 2026
Accepted (ET)
Sep 9, 2026 · 3:22 pm EDT
Rule 10b5-1 plan
box not checked
Issuer CIK
0001938570
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)F1 | $2.10 | Sep 4, 2026 | A | 22,098 | A | — | Mar 4, 2036 | Common Stock | 22,098 | 22,098 | D |
Explanation of responses
- F1Received in the merger of Blue Laser Fusion Acquisition Co., a subsidiary of the issuer, with and into Blue Laser Subsidiary Inc. (f/k/a Blue Laser Fusion Inc., "Pre-Merger BLF"), pursuant to the Agreement and Plan of Merger, dated September 4, 2026, in exchange for an option to acquire 35,000 shares of common stock of Pre-Merger BLF for $1.32 per share. The option vests in 48 equal monthly installments beginning on February 1, 2026.