SEC Form 4 · accession 0001493152-17-003419
OMNIQ Corp. · OMQS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William Austin Lewis IV
Director
Period of report
Mar 30, 2017
Accepted (ET)
Apr 3, 2017 · 5:09 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000278165
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to PurchaseF2,F1 | $0.089 | Mar 30, 2017 | A | 350,000 | A | — | Mar 31, 2022 | Common Stock | 350,000 | 350,000 | D |
Explanation of responses
- F1The options are exercisable as follows: options to purchase 116,666 are immediately vested; options to purchase 116,667 vest on March 30, 2018, and options to purchase 116,667 shares vest on March 30, 2019, subject to any change in control acceleration provisions.
- F2Mr. Lewis also holds options to purchase 36,000 shares at $.33 per share, all of which are vested, granted on July 9, 2015 and expiring July 9, 2018.