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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Incentive Stock Option (Right to Buy) | $ 0.22 | 01/07/2016 | A | 280,000 (5) | 01/07/2016 | 01/07/2021 | Common | 280,000 | $ 0.22 | 280,000 | D | ||||
Incentive Stock Option (Right to Buy) | $ 0.37 | 01/07/2015 | 01/07/2020 | Common | 270,000 | 270,000 | D | ||||||||
Common Stock Warrant (Right to Buy) | $ 2.34 | 12/16/2013 | 12/16/2017 | Common | 1,906 | 1,906 | D | ||||||||
Common Stock Warrant (Right to Buy) | $ 5.25 | 03/22/2013 | 03/22/2017 | Common | 953 | 953 | D | ||||||||
Incentive Stock Option (Right to Buy) | $ 0.51 | 12/18/2012 | 06/18/2022 | Common | 44,467 | 44,467 | D | ||||||||
Non-Qualified Stock Option (Right to Buy) | $ 0.51 | 12/18/2012 | 06/18/2022 | Common Stock | 188,867 | 188,867 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Clark Moore 4125 BLACKHAWK PLAZA CIRCLE SUITE 201 DANVILLE, CA 94506 |
Executive Vice President |
/s/Clark Moore | 01/08/2016 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Common stock shares were transferred pursuant to a charitable gift in a private transaction. |
(2) | Common stock of Issuer granted to Reporting Person and subject to forfeiture as follows: (i) 50% of the shares on the six (6) month anniversary of the Grant Date; (ii) 30% on the twelve (12) month anniversary of the Grant Date; and (iii) 20% on the eighteen (18) month anniversary of the Grant Date, in each case subject to the Recipient being an employee of, or consultant to, the Company on such vesting date, and subject to the terms and conditions of a Restricted Stock Agreement. |
(3) | Reporting Person's holdings include: 83,334 shares, 197,750 shares, 280,000 shares, 270,000 and 550,000 shares all issued pursuant to restricted stock grants, and 211,400 shares remaining of Founders Stock. |
(4) | Represents 28,667 shares of the Issuer's common stock owned by each of Reporting Person's two minor children. |
(5) | Incentive Stock Option granted to Reporting Person with vesting as follows: (i) 50% of the shares on the six (6) month anniversary of the Grant Date; (ii) 30% on the twelve (12) month anniversary of the Grant Date and (iii) 20% on the eighteen (18) month anniversary of the Grant Date, in each case subject to the recipient of the Option being an employee or or consultant to the Company on such vesting date, and subject to the terms and conditions of a Stock Option Agreement. |