SEC Form 4 · accession 0001209191-15-038474
Microbot Medical Inc. · MBOT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Irving Weissman
Director
Period of report
Apr 30, 2015
Accepted (ET)
May 4, 2015 · 4:58 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000883975
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Apr 30, 2015 | A | 12,255 | $0.00 | A | 279,708 | D | |
| Common StockF3 | holding | — | — | — | 22,471 | I | Family Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Quarterly retainer paid to Dr. Weissman in shares of common stock as consideration for his continued service on the Company's Scientific Advisory Board.
- F2Includes the following anniversary equity grant: 58,253 restricted stock units vesting 100% on January 1, 2016.
- F3Includes 10,508 shares held in trust for Dr. Weissman's grandchildren. Dr. Weissman disclaims beneficial ownership of such shares.