SEC Form 4 · accession 0000914190-18-000491
ELECTRO SENSORS INC · ELSE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey Dean Peterson
Director · 10% Owner
Period of report
Apr 6, 2017
Accepted (ET)
Nov 20, 2018 · 4:14 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000351789
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Apr 6, 2017 | W | 1,754,464 | $0.00 | A | 1,754,464 | I | By Estate of Nancy P. Peterson |
| Common Stock | Jun 14, 2018 | W | 750,000 | $0.00 | D | 1,004,464 | I | By Estate of Nancy P. Peterson |
| Common Stock | Jun 14, 2018 | W | 150,000 | $0.00 | A | 150,000 | 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) | $4.15 | holding | — | — | — | Jul 18, 2012 | Jul 18, 2022 | Common Stock | 2,500 | 2,500 | D |
| Stock Option (Right to Buy)F2 | $4.66 | holding | — | — | — | — | Aug 28, 2023 | Common Stock | 50,000 | 50,000 | D |
Explanation of responses
- F1These shares were acquired by the Estate of Nancy P. Peterson by operation of law upon the death of Nancy P. Peterson. The Reporting Person serves as the co-executor of the Estate of Nancy P. Peterson.
- F2Fully exercisable.