SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Schuler Henri George

(Last) (First) (Middle)
100 N. FIELD DRIVE
SUITE 360

(Street)
LAKE FOREST IL 60045

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
VERMILLION, INC. [ VRML ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
08/31/2017
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, par value $0.001 08/31/2017 X 571,702 A $1 2,897,021 I By Tino Hans Schuler Trust(1)(7)
Common Stock, par value $0.001 08/31/2017 X 571,702 A $1 2,897,021 I By Tanya Eva Schuler Trust(2)(7)
Common Stock, par value $0.001 08/31/2017 X 571,702 A $1 2,897,021 I By Therese Heidi Schuler Trust(3)(7)
Common Stock, par value $0.001 08/31/2017 X 113,332 A $1 840,003 I By Schuler GC 2010 Continuation Trust(4)(7)
Common Stock, par value $0.001 08/31/2017 X 113,332 A $1 353,240 I By Schuler Grandchildren LLC(5)(7)
Common Stock, par value $0.001 141,304 I By Seascape Partners L.P.(6)(7)
Common Stock, par value $0.001 26,000 I By spouse(7)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Warrants (Right to Buy) $1 08/31/2017 X 571,702 08/25/2017 08/31/2017 Common Stock 571,702 $0 0 I By Tino Hans Schuler Trust(1)(7)
Warrants (Right to Buy) $1 08/31/2017 X 571,702 08/25/2017 08/31/2017 Common Stock 571,702 $0 0 I By Tanya Eva Schuler Trust(2)(7)
Warrants (Right to Buy) $1 08/31/2017 X 571,702 08/25/2017 08/31/2017 Common Stock 571,702 $0 0 I By Therese Heidi Schuler Trust(3)(7)
Warrants (Right to Buy) $1 08/31/2017 X 113,332 08/25/2017 08/31/2017 Common Stock 113,332 $0 0 I By Schuler GC 2010 Continuation Trust(4)(7)
Warrants (Right to Buy) $1 08/31/2017 X 113,332 08/25/2017 08/31/2017 Common Stock 113,332 $0 0 I By Schuler Grandchildren LLC(5)(7)
Warrants (Right to Buy) $1.8 08/17/2017 02/17/2022 Common Stock 365,072 365,072 I By Tino Hans Schuler Trust(1)(7)
Warrants (Right to Buy) $1.8 08/17/2017 02/17/2022 Common Stock 365,072 365,072 I By Tanya Eva Schuler Trust(2)(7)
Warrants (Right to Buy) $1.8 08/17/2017 02/17/2022 Common Stock 365,072 365,072 I By Therese Heidi Schuler Trust(3)(7)
Warrants (Right to Buy) $1.8 08/17/2017 02/17/2022 Common Stock 365,072 365,072 I By Schuler GC 2010 Continuation Trust(4)(7)
Explanation of Responses:
1. These Shares of Common Stock ("Shares") and Warrants to acquire Common Stock ("Warrants") are directly owned by the Tino Hans Schuler Trust. H. George Schuler is the sole trustee of the Tino Hans Schuler Trust.
2. These Shares and Warrants are directly owned by the Tanya Eva Schuler Trust. H. George Schuler is the sole trustee of the Tanya Eva Schuler Trust.
3. These Shares and Warrants are directly owned by the Therese Heidi Schuler Trust. H. George Schuler is the sole trustee of the Therese Heidi Schuler Trust.
4. These Shares and Warrants are directly owned by the Schuler GC 2010 Continuation Trust. H. George Schuler is the sole trustee of the Schuler GC 2010 Continuation Trust.
5. These Shares are directly owned by the Schuler Grandchildren LLC. H. George Schuler is the manager of the Schuler Grandchildren LLC.
6. These Shares are directly owned by Seascape Partners L.P., a family limited partnership. H. George Schuler is the manager of Seascape Partners L.P.
7. The reporting person disclaims beneficial ownership of these Shares except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that he is the beneficial owner of the Shares for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
/s/ H. George Schuler 09/05/2017
** 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 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).
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