SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Han Peng

(Last) (First) (Middle)
14001 MARSHALL DRIVE

(Street)
LENEXA KS 66215

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/13/2021
3. Issuer Name and Ticker or Trading Symbol
DIGITAL ALLY INC [ DGLY ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Operating Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 69,000(1)(2) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) 08/12/2015 08/12/2025 Common Stock 500 $7.2 D
Employee Stock Option (Right to Buy) 10/28/2015 10/28/2025 Common Stock 1,000 $7.04 D
Employee Stock Option (Right to Buy) 07/06/2015 07/06/2025 Common Stock 1,125 $3.2 D
Employee Stock Option (Right to Buy) 07/06/2016 07/06/2026 Common Stock 1,500 $3.2 D
Employee Stock Option (Right to Buy) 03/22/2016 03/22/2026 Common Stock 750 $4.16 D
Employee Stock Option (Right to Buy) 03/22/2017 03/22/2027 Common Stock 750 $4.16 D
Employee Stock Option (Right to Buy) 08/14/2014 08/14/2024 Common Stock 100 $3.24 D
Employee Stock Option (Right to Buy) 08/14/2015 08/14/2025 Common Stock 200 $3.24 D
Employee Stock Option (Right to Buy) 08/14/2016 08/14/2026 Common Stock 300 $3.24 D
Employee Stock Option (Right to Buy) 08/14/2017 08/14/2027 Common Stock 400 $3.24 D
Explanation of Responses:
1. 5,000 restricted shares of common stock, par value $0.001 of the Issuer ("Common Stock"), granted January 3, 2020, pursuant to the issuer's 2018 Stock Option and Restricted Stock plan, which will vest on January 2, 2022.
2. 50,000 restricted shares of common stock, par value $0.001 of the Issuer ("Common Stock"), granted September 20, 2021, pursuant to the issuer's 2020 Stock Option and Restricted Stock Plan, vesting in equal installments on the first and second anniversaries of September 20, 2021.
/s/ Peng Han 12/13/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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