SEC Form 4 · accession 0001209191-16-092668
Microbot Medical Inc. · MBOT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ian J Massey
Officer — Chief Executive Officer
Period of report
Jan 18, 2016
Accepted (ET)
Jan 20, 2016 · 5:18 pm EST
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 | Jan 18, 2016 | A | 1,250,000 | $0.00 | A | 2,000,000 | D | |
| Common StockF3 | holding | — | — | — | 17,059 | I | By 401(k) Plan |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Restricted stock units with performance based vesting set by the issuer's Board of Directors and tied to the timely and successful conduct and completion of the issuer's Phase II clinical study in spinal cord injury.
- F2Consists of 2,000,000 restricted stock units with performance based vesting.
- F3Includes shares held in 401(k) account in accordance with issuer's employer-match policies.