0001209191-16-156591.txt : 20161222 0001209191-16-156591.hdr.sgml : 20161222 20161222181830 ACCESSION NUMBER: 0001209191-16-156591 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161221 FILED AS OF DATE: 20161222 DATE AS OF CHANGE: 20161222 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PURE BIOSCIENCE, INC. CENTRAL INDEX KEY: 0001006028 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS CHEMICAL PRODUCTS [2890] IRS NUMBER: 330530289 STATE OF INCORPORATION: DE FISCAL YEAR END: 0731 BUSINESS ADDRESS: STREET 1: 1725 GILLESPIE WAY CITY: EL CAJON STATE: CA ZIP: 92020 BUSINESS PHONE: 619-596-8600 MAIL ADDRESS: STREET 1: 1725 GILLESPIE WAY CITY: EL CAJON STATE: CA ZIP: 92020 FORMER COMPANY: FORMER CONFORMED NAME: PURE BIOSCIENCE DATE OF NAME CHANGE: 20031029 FORMER COMPANY: FORMER CONFORMED NAME: PURE BIOSCIENCES DATE OF NAME CHANGE: 20031029 FORMER COMPANY: FORMER CONFORMED NAME: INNOVATIVE MEDICAL SERVICES DATE OF NAME CHANGE: 19960122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lee Tom Y CENTRAL INDEX KEY: 0001623609 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14468 FILM NUMBER: 162067666 MAIL ADDRESS: STREET 1: 1807 SAN GABRIEL BLVD. CITY: SAN GABRIEL STATE: CA ZIP: 91776 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-12-21 0 0001006028 PURE BIOSCIENCE, INC. PURE 0001623609 Lee Tom Y 1807 SAN GABRIEL BLVD. SAN GABRIEL CA 91776 1 0 0 0 Common Stock 2016-12-21 4 S 0 14885 0.95 D 3684452 D Reflects the cancellation of 200,000 Restricted Stock Units pursuant to the RSU Cancellation Agreement between the Issuer and the Reporting Person, dated December 13, 2016. /s/ Tom Lee 2016-12-22