e144
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U.S. SECURITIES AND EXCHANGE COMMISSION
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OMB APPROVAL |
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Washington, D.C. 20549
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OMB Number: 3235-0101 |
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FORM 144
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Expires: December 31, 2009 |
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Estimated average burden hours per |
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NOTICE OF PROPOSED SALE OF SECURITIES
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response . . . 2.00 |
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PURSUANT TO RULE 144 UNDER THE SECURITIES ACT OF 1933
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SEC USE ONLY |
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DOCUMENT SEQUENCE NO. |
ATTENTION: |
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Transmit for filing 3 copies of this form concurrently with either placing an order with a broker to execute sale or executing a
sale directly with a market maker. |
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CUSIP NUMBER |
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1(a) NAME OF ISSUER |
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(b) IRS IDENT. NO. |
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(c) S.E.C. FILE NO. |
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WORK LOCATION |
BSQUARE Corporation |
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91-1650880 |
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000-27687
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1(d) ADDRESS OF ISSUER
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STREET |
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(e) TELEPHONE NO. |
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110 -110th Avenue, NE, Suite 200 |
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Bellevue |
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WA |
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98004 |
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425 519-5900 |
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2(a) NAME OF PERSON FOR WHOSE ACCOUNT THE SECURITIES |
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(b) IRS |
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(c) RELATIONSHIP |
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ARE TO BE SOLD |
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IDENT. NO. |
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TO ISSUER |
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(d) ADDRESS |
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CITY |
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STATE |
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ZIP CODE |
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Elliott H. Jurgensen, Jr.
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Director
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110 -110th Avenue, NE, Suite 200
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Bellevue
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WA
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98004 |
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INSTRUCTION: The person filing this notice should contact the issuer to obtain the I.R.S. Identification Number and the S.E.C. File Number.
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SEC USE |
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3(a) |
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(b) |
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ONLY |
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(c) |
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(d) |
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(e) |
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(f) |
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(g) |
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Name and Address of Each Broker |
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Number of Shares or |
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Number of Shares |
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Approximate |
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Name of Each |
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Through Whom the Securities are to be |
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Other Units To Be |
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Aggregate |
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or Other Units |
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Date of Sale |
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Securities |
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Title of the Class of Securities |
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Offered or Each Market Maker who is |
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Broker-Dealer |
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Sold |
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Market Value |
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Outstanding |
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(See instr. 3(f)) |
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Exchange |
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To Be Sold |
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Acquiring the Securities |
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File Number |
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(See instr. 3(c)) |
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(See instr. 3(d)) |
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(See instr. 3(e)) |
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(M0. DAY YR.) |
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(See instr. 3(g)) |
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Common Stock
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eTrade, P.O. Box 1542, Merrifield, VA 22116
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5825 |
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25164 |
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9617755 |
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02/28/07
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NASDAQ |
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(as of 2/28/07)
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(as of 12/31/06)
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1.
(a) Name of issuer.
(b) Issuers IRS Identification Number.
(c) Issuers SEC file number, if any.
(d) Issuers address, including zip code.
(e) Issuers telephone number, including area code.
2.
(a) Name of person for whose account the securities are to be sold.
(b) Such persons or I.R.S. Identification number, if such a person is an entity.
(c) Such persons relationship to the issuer (e.g., officer, director, 10 percent stockholder, or member of immediate family of any of the foregoing).
(d) Such persons address, including zip code.
3.
(a) Title of the class of securities to be sold.
(b) Name and address of each broker through whom the securities are intended to be sold.
(c) Number of shares or other units to be sold (if debt securities, give the aggregate face amount).
(d) Aggregate market value of the securities to be sold as of a specified date within 10 days prior to the filing of this notice.
(e) Number of shares or other units of the class outstanding, or if debt securities the face amount thereof outstanding, as shown by the most recent report or statement published by the issuer.
(f) Approximate date on which the securities are to be sold.
(g) Name of each securities exchange, if any, on which the securities are intended to be sold.
TABLE I SECURITIES TO BE SOLD
Furnish the following information with respect to the acquisition of the securities to be sold
and with respect to the payment of all or any part of the purchase price or other consideration
therefor:
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Name of Person from |
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Date you |
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Whom Acquired |
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Amount of |
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Title of the Class |
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Acquired |
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Nature of Acquisition Transaction |
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(If gift, also give date donor acquired) |
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Securities Acquired |
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Date of Payment |
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Nature of Payment |
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Common Stock
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2/28/07
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Exercise of Stock Options
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BSQUARE Corporation
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5825 |
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2/28/07
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Cash |
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INSTRUCTIONS: |
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If the securities were purchased and full payment therefor was not made in cash at
the time of purchase, explain in the table or in a note thereto the nature of the
consideration given. If the consideration consisted of any note or other obligation, or if
payment was made in installments describe the arrangement and state when the note or other
obligation was discharged in full or the last installment paid. |
TABLE II SECURITIES SOLD DURING THE PAST 3 MONTHS
Furnish the following information as to all securities of the issuer sold during the past 3 months
by the person for whose account the securities are to be sold.
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Amount of |
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Name and Address of Seller |
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Title of Securities Sold |
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Date of Sale |
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Securities Sold |
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Gross Proceeds |
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None
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Remarks:
INSTRUCTIONS:
See the definition of person in paragraph (a) of Rule 144. Information is to be given not only as
to the person for whose account the securities are to be sold but also as to all other persons
included in that definition. In addition, information shall be given as to sales by all persons
whose sales are required by paragraph (e) of Rule 144 to be aggregated with sales for the account
of the person filing this notice.
ATTENTION:
The person for whose account the securities to which this notice relates are to be sold hereby
represents by signing this notice that he does not know any material adverse information in regard
to the current and prospective operations of the Issuer of the securities to be sold which has not
been publicly disclosed.
Date of Notice
/ s / ELLIOTT H. JURGENSEN, JR.
(Signature)
The notice shall be signed by the person for whose account the securities are to be sold. At
least one copy of the notice shall be manually signed.
Any copies not manually signed shall bear typed or printed signatures.
ATTENTION: Intentional misstatements or omission of facts constitute Federal Criminal Violations (See 18 U.S.C. 1001)