SEC Form 4 · accession 0001144204-17-029661
BIOLIFE SOLUTIONS INC · BLFS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Period of report
May 23, 2017
Accepted (ET)
May 25, 2017 · 7:27 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 StockF1 | May 23, 2017 | X | 71,429 | $1.12 | A | 3,747,503 | I | By WAVI Holdings AG |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants | $1.12 | May 23, 2017 | X | 71,429 | D | May 23, 2012 | May 29, 2017 | Common Stock | 71,429 | 0 | D |
Explanation of responses
- F1The shares of common stock were issued to WAVI Holdings AG, a wholly owned entity of the reporting person, upon exercise of the warrants held by the reporting person.