SEC Form 4/A · accession 0001437749-17-016818
BIOLARGO, INC. · BLGO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Kent Charles Roberts II
Director
Period of report
Sep 30, 2017
Accepted (ET)
Oct 4, 2017 · 6:21 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 | $0.51 | Sep 30, 2017 | A | 29,412 | A | Sep 30, 2017 | Sep 30, 2027 | Common Stock | 29,412 | 992,627 | D |
Explanation of responses
- F1This Option was issued to Reporting Person as payment for $15,000 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.
Remarks
This Form 4 is being amended to correct an administrative miscalculation of the number of derivative securities acquired by Reporting Person, as reflected in Table II, Items 5 and 7, and the corresponding number beneficially owned following the transaction, as reflected in Table II, Item 9.