SEC Form 4 · accession 0001437749-17-012181
BIOLARGO, INC. · BLGO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jack B. Strommen
Director
Period of report
Jun 30, 2017
Accepted (ET)
Jul 5, 2017 · 12:53 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000880242
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to Purchase Common StockF1,F2 | $0.43 | Jun 30, 2017 | A | 4,264 | A | Jun 30, 2017 | Jun 30, 2027 | Common Stock | 4,264 | 14,264 | D |
Explanation of responses
- F1This Option was issued to Reporting Person as payment for $1,833 in fees due to Reporting Person by Issuer in exchange for services on its board of directors pursuant to a plan adopted by the Issuer's Board to retire outstanding accounts payable.
- F2Does not include warrants to purchase 3,257,143 shares of Issuer common stock, disclosed in the Form 3 filed by Reporting Person on June 28, 2017; does not include Convertible Promissory Notes due 2018, convertible into 3,257,143 shares of Issuer common stock, disclosed in the Form 3 filed by Reporting Person on June 28, 2017.