SEC Form 4 · accession 0001140361-16-078561
BIOLIFE SOLUTIONS INC · BLFS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Aby J. Mathew
Officer — Sr. VP & Chief Tech. Officer
Period of report
Aug 30, 2016
Accepted (ET)
Sep 1, 2016 · 7:38 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000834365
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Shares | Aug 30, 2016 | M | 7,142 | $0.981 | A | 76,531 | 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)F1,F2 | $0.981 | Aug 30, 2016 | M | 7,142 | D | — | Oct 12, 2016 | Common Stock | 7,142 | 0 | D |
Explanation of responses
- F1Reflects 1:14 stock split by the Company on January 29, 2014.
- F2Fully exercisable at 10/12/2010.