SEC Form 4 · accession 0001654954-17-011586
PALATIN TECHNOLOGIES INC · PTN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stephen T Wills
Officer — Executive VP and CFO/COO
Period of report
Dec 12, 2017
Accepted (ET)
Dec 13, 2017 · 4:17 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000911216
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 12, 2017 | A | 575,000 | $0.00 | A | 3,127,239 | 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 acquire)F2 | $0.85 | Dec 12, 2017 | A | 575,000 | A | Dec 12, 2018 | Dec 12, 2027 | Common Stock | 575,000 | 575,000 | D |
Explanation of responses
- F1Restricted share units granted under the 2011 Stock Incentive Plan, each of which represents the right to receive, without further payment, one share of common stock. The restricted share units vest at the rate of 25% per year, starting on December 12, 2018. Vested shares, subject to the terms of the applicable restricted share unit agreement, will be delivered following the reporting person ceasing to serve as an employee of Palatin Technologies, Inc.
- F2Options vest at the rate of 25% per year, starting on December 12, 2018.