SEC Form 4 · accession 0001437749-17-009915
COGENTIX MEDICAL INC /DE/ · CGNT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Darin Hammers
Officer — CEO
Period of report
May 19, 2017
Accepted (ET)
May 23, 2017 · 4:47 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000894237
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F3 | May 19, 2017 | A | 50,578 | $0.00 | A | 373,319 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F2 | $1.65 | May 19, 2017 | A | 359,589 | A | May 19, 2018 | May 19, 2028 | Common Stock | 359,589 | 359,589 | D |
Explanation of responses
- F1These shares vest in one-third increments pursuant to a restricted stock award beginning on the first anniversary of the grant date.
- F2This option vests in cumulative annual installments of one-third each, beginning the date shown.
- F3Total holdings include restricted stock awards.