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