SEC Form 4 · accession 0001615594-18-000002

MGC DIAGNOSTICS Corp · MGCD

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Interim CFO & Secretary

Period of report

Dec 28, 2017

Accepted (ET)

Jan 2, 2018 · 6:15 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000815093

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1	Dec 28, 2017	D	2,332	$11.03	D	0	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Stock Option (Right-to-Buy)^F2	$6.76	Dec 28, 2017	D	1,200	D	—	—	Common Stock	1,200	D
Stock Option (Right-to-Buy)^F3	$8.40	Dec 28, 2017	D	2,500	D	—	—	Common Stock	2,500	D
Stock Option (Right-to-Buy)^F4	$8.08	Dec 28, 2017	D	10,000	D	—	—	Common Stock	10,000	D
Employee Stock Purchase Plan Shares^F5	$6.71	Dec 28, 2017	D	96	D	—	—	Common Stock	96	D

F1Reporting Person determined that he violated Section 16(b) in the rollover of 96 shares of stock issued effective June 30, 2017 under the MGC Diagnostics Corporation Employee Stock Purchase Plan. Reporting Person has paid the company $414.72 representing the entire amount of the Section 16(b) short-swing profit.
F2This option vested fully on November 12, 2015 and was cancelled in connection with the merger agreement between the company, MGC Parent LLC and AC Breathe Merger Sub Inc. in exchange for a cash payout of $5,124.
F3This option, which vested fully on October 31, 2017 was cancelled in connection with the merger agreement between company, MGC Parent LLC and AC Breathe Merger Sub Inc. in exchange for a cash payout of $6,575.
F4This option, which provided for vesting on August 30, 2018 was cancelled in connection with the merger agreement between the company, MGC Parent LLC and AC Breathe Merger Sub Inc. in exchange for a cash payout of $29,500.
F5The shares that would have been issued under the phase that began July 1, 2017 were cancelled in connection with the merger agreement between the company, MGC Parent LLC and AC Breathe Merger Sub Inc. in exchange for a cash payout of $860.34.