SEC Form 4 · accession 0001645383-17-000004
MoSys, Inc. · MOSY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John Stearns Monson
Officer — VP of Marketing and Sales
Period of report
Feb 18, 2017
Accepted (ET)
Feb 22, 2017 · 8:34 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 | 400 | — | A | 1,041 | D | |
| Common StockF1,F2 | Feb 18, 2017 | M | 175 | $3.50 | D | 866 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On February 18, 2014, the reporting person was granted 2,000 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 each of 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 February 15, 2017