SEC Form 4 · accession 0000862668-18-000005
ESCALON MEDICAL CORP · ESMC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard J Depiano
Director · 10% Owner
Period of report
Feb 14, 2018
Accepted (ET)
Feb 16, 2018 · 3:59 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000862668
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Convertable Preferred stockF1 | — | Feb 14, 2018 | J | 465,116 | A | — | — | Common Stock | 1,000,000 | 465,116 | D |
| Series A convertible preferred stockF4,F1 | — | Feb 14, 2018 | J | 1,534,884 | A | — | — | Common Stock | 3,300,000 | 1,534,884 | I |
Explanation of responses
- F1Each share of Series A convertible preferred stock is convertible into 2.15 shares of Escalon common stock and has no expiration date.
- F2Reporting person acquired these shares in exchange for the cancellation of a promissory note in the principal amount of $150,000 owed by Escalon to him.
- F3Reporting person acquired these shares indirectly in exchange for the cancellation of a promissory note in the principal amount of $495,000 owed by Escalon to DP Associates Inc Profit Sharing Plan.
- F4These shares are owned by DP Associates Inc Profit Sharing Plan of which the reporting person is the sole owner and sole trustee.