SEC Form 4 · accession 0001645383-16-000016

MoSys, Inc. · MOSY

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Chief Financial Officer

Period of report

Aug 23, 2016

Accepted (ET)

Aug 26, 2016 · 9:36 am EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000890394

Table I — non-derivative securities

No Table I lines on this filing.

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Option to purchase common stock^F2,F1	$3.73	Aug 23, 2016	D	190,000	D	—	Jan 18, 2018	Common Stock	190,000	0	D
Option to purchase common stock^F2,F3	$3.54	Aug 23, 2016	D	50,000	D	—	Nov 1, 2017	Common Stock	50,000	0	D
Option to purchase common stock^F2,F4	$4.46	Aug 23, 2016	D	36,250	D	—	Jun 6, 2023	Common stock	36,250	0	D
Option to purchase common stock^F2,F5	$0.72	Aug 23, 2016	D	157,856	A	—	Aug 23, 2026	Common Stock	157,856	157,856	D

F1The canceled option provided for vesting as follows: 25% of the shares subject to the option on January 17, 2009 and as to 2.0833% of the shares subject to the option on the 17th day of each calendar month thereafter
F2On August 23, 2016, the Issuer canceled, pursuant to an option exchange program, options granted to the Reporting Person on 1/18/08, 11/1/11, and 6/6/13. In exchange for these options to cumulatively purchase 276,250 shares, the Reporting Person received a new option to purchase 157,856 shares at a lower exercise price.
F3The canceled option provided for vesting as follows: ratably over 48 months
F4The canceled option provided for vesting as follows: 6,250, 10,000, 10,000, 7,500, 2,500 shares in fiscal years 2013, 2014, 2015, 2016 and 2017, respectively
F5Option granted to replace cancelled options, pursuant to an option exchange program; vests ratably over 36 months.