SEC Form 4 · accession 0001209191-16-128728
Microbot Medical Inc. · MBOT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
George Koshy
Other
Period of report
May 24, 2016
Accepted (ET)
Jun 17, 2016 · 7:35 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 StockF2 | May 24, 2016 | F | 2,084 | $2.92 | D | 27,308 | D | |
| Common StockF3 | holding | — | — | — | 5,764 | I | By 401(k) Plan |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This is recorded as a Code F disposition because the shares were used by the reporting person to pay a tax liability incurred by him from the delivery of shares incident to the vesting of restricted stock units.
- F2Includes (1) 2,084 restricted stock units vesting on May 24, 2017; (2) 10,834 restricted stock units, with 5,417 of these vesting on each of January 8, 2017 and January 8, 2018; and (3) 5,459 restricted stock units with performance based vesting.
- F3Shares held in 401(k) account, in accordance with issuer's employer-match policies.