SEC Form 4 · accession 0001645383-17-000003
MoSys, Inc. · MOSY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James Sullivan
Officer — Chief Financial Officer
Period of report
Feb 18, 2017
Accepted (ET)
Feb 22, 2017 · 8:27 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000890394
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Feb 18, 2017 | M | 600 | — | A | 2,126 | D | |
| Common StockF1,F2 | Feb 18, 2017 | M | 262 | $3.50 | D | 1,864 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On February 18, 2014, the reporting person was granted 3,000 restricted stock units, which reflects the impact of a 1 for 10 reverse stock split of the Issuers Common Stock effected on February 15, 2017. The restricted stock units vest in 5 equal installments on February 18, 2014, 2015, 2016, 2017, and 2018. Represents the conversion upon vesting of restricted stock units (RSU) into common stock. RSU converts into common stock on a one-for-one basis.
- F2Reflects the impact of a 1 for 10 reverse stock split of the Issuers Common Stock effected on 2/15/17