SEC Form 4 · accession 0001140361-15-035602
SYNERGETICS USA INC · SURG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Juanita H Hinshaw
Director
Period of report
Sep 18, 2015
Accepted (ET)
Sep 21, 2015 · 4:54 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000836429
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Sep 18, 2015 | M | 10,000 | $5.00 | A | 336,710 | I | By trust |
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)F2,F1 | $5.00 | Sep 18, 2015 | M | 10,000 | D | — | Sep 22, 2015 | Common Stock | 10,000 | 0 | D |
Explanation of responses
- F1The stock option vested on September 22, 2005.
- F2The stock option was granted pursuant to the Amended and Restated Synergetics USA, Inc. 2005 Non-Employee Directors' Stock Option Plan.