SEC Form 4 · accession 0000899243-18-031820
ICAD INC · ICAD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael S Klein
Officer — Interim CEO · Director
Period of report
Dec 21, 2018
Accepted (ET)
Dec 27, 2018 · 4:16 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000749660
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible DebentureF1,F3,F2 | $4.00 | Dec 21, 2018 | A | 25,000 | A | Dec 21, 2018 | Dec 21, 2021 | Common Stock | 25,000 | 25,000 | D |
Explanation of responses
- F1The number of Convertible Debentures purchased was derived by diving the amount of the reporting person's investment by the conversion price of the Convertible Debentures.
- F2The Convertible Debentures bear interest of 5% per annum, payable semi-annually on December 21 and June 21.
- F3The Convertible Debentures are held indirectly by Michael Klein through the Klein 1999 Family Trust.