0001179110-16-030720.txt : 20161014
0001179110-16-030720.hdr.sgml : 20161014
20161014154715
ACCESSION NUMBER: 0001179110-16-030720
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151231
FILED AS OF DATE: 20161014
DATE AS OF CHANGE: 20161014
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CREATIVE REALITIES, INC.
CENTRAL INDEX KEY: 0001356093
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
IRS NUMBER: 411967918
STATE OF INCORPORATION: MN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 55 BROADWAY
STREET 2: 9TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10006
BUSINESS PHONE: 212-324-6660
MAIL ADDRESS:
STREET 1: 55 BROADWAY
STREET 2: 9TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10006
FORMER COMPANY:
FORMER CONFORMED NAME: WIRELESS RONIN TECHNOLOGIES INC
DATE OF NAME CHANGE: 20060313
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Walpuck John James III
CENTRAL INDEX KEY: 0001527408
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33169
FILM NUMBER: 161937087
MAIL ADDRESS:
STREET 1: 5929 BAKER ROAD, SUITE 475
CITY: MINNETONKA
STATE: MN
ZIP: 55345
5
1
edgar.xml
FORM 5 -
X0306
5
2015-12-31
0
0
1
0001356093
CREATIVE REALITIES, INC.
CREX
0001527408
Walpuck John James III
5929 BAKER ROAD, SUITE 475
MINNETONKA
MN
55345
0
1
0
0
CFO and COO
Common Stock
0
D
Stock Options (right to buy)
0.45
2014-08-18
4
A
0
L
50000
0
A
2024-08-18
Common Stock
50000
50000
D
Stock Options (right to buy)
0.45
2014-10-09
4
A
0
L
480685
0
A
2024-10-09
Common Stock
480685
480685
D
Stock Options (right to buy)
0.32
2015-01-22
4
A
0
L
1449433
0
A
2025-01-22
Common Stock
1449433
1449433
D
Stock Options (right to buy)
0.19
2015-11-20
4
A
0
L
1069882
0
A
2025-11-20
Common Stock
1069882
1069882
D
Vested as of the Creative Realities LLC merger.
Option vests in 25% increments on each of 10/9/2015, 10/9/2016, 10/9/2017 and 10/9/2018.
Option vests in 25% increments on each of 1/22/2016, 1/22/2017, 1/22/2018 and 1/22/2019.
Option vests in 25% increments on each of 11/20/2016, 11/20/2017, 11/20/2018 and 11/20/2019.
/s/ John J. Walpuck III
2016-10-14