SEC Form 4 · accession 0001645383-17-000021
MoSys, Inc. · MOSY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Leonard charles Perham
Officer — CEO · Director
Period of report
Oct 13, 2017
Accepted (ET)
Oct 16, 2017 · 3:36 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000890394
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to purchase common stockF1 | $20.50 | Oct 13, 2017 | J | 25,000 | D | — | Mar 30, 2025 | Common Stock | 25,000 | 0 | D |
| Option to purchase common stockF2 | $44.60 | Oct 13, 2017 | J | 10,000 | D | — | Jun 6, 2023 | Common Stock | 10,000 | 0 | D |
| Option to purchase common stockF3 | $35.40 | Oct 13, 2017 | J | 20,000 | D | — | Nov 1, 2017 | Common Stock | 20,000 | 0 | D |
Explanation of responses
- F1On October 13, 2017, the reporting person and the Company agreed to cancel a stock option granted on March 30, 2015 to purchase 25,000 shares of common stock. The option was previously reported on a Form 4 filed with the SEC on April 2, 2015. The canceled option was exercisable in full as of January 1, 2017 . Shares and price have been adjusted for to reflect 1-for-10 reverse stock split effected in February 2017.
- F2On October 13, 2017, the reporting person and the Company agreed to cancel a stock option granted on June 6, 2013 to purchase 10,000 shares of common stock. The option was previously reported on a Form 4 filed with the SEC on June 10, 2013. The canceled option was exercisable in full as of April 1, 2017. Shares and price have been adjusted for to reflect 1-for-10 reverse stock split effected in February 2017.
- F3On October 13, 2017, the reporting person and the Company agreed to cancel a stock option granted on November 1, 2011 to purchase 20,000 shares of common stock. The option was previously reported on a Form 4 filed with the SEC on November 4, 2011. The canceled option was exercisable in full as of November 1, 2013 . Shares and price have been adjusted for to reflect 1-for-10 reverse stock split effected in February 2017.