0001608562-17-000006.txt : 20171024 0001608562-17-000006.hdr.sgml : 20171024 20171024134454 ACCESSION NUMBER: 0001608562-17-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171016 FILED AS OF DATE: 20171024 DATE AS OF CHANGE: 20171024 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Allen Tamara S CENTRAL INDEX KEY: 0001608562 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-07441 FILM NUMBER: 171150585 MAIL ADDRESS: STREET 1: C/O SIERRA MONITOR CORPORATION STREET 2: 1991 TAROB COURT CITY: MILPITAS STATE: CA ZIP: 95035 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SIERRA MONITOR CORP /CA/ CENTRAL INDEX KEY: 0000100625 STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829] IRS NUMBER: 952481914 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1991 TAROB CT CITY: MILPITAS STATE: CA ZIP: 95035 BUSINESS PHONE: 4082626611 MAIL ADDRESS: STREET 1: 1991 TAROB COURT CITY: MILPITAS STATE: CA ZIP: 95035 FORMER COMPANY: FORMER CONFORMED NAME: UMF SYSTEMS INC DATE OF NAME CHANGE: 19890928 FORMER COMPANY: FORMER CONFORMED NAME: IMAGES ENTERPRISES INC DATE OF NAME CHANGE: 19731011 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-10-16 0 0000100625 SIERRA MONITOR CORP /CA/ SRMC 0001608562 Allen Tamara S C/O SIERRA MONITOR CORPORATION 1991 TAROB COURT MILPITAS CA 95035 0 1 0 0 Chief Financial Officer Common Stock 2017-10-16 4 D 0 50000 1.2 D 77195 D Employee Stock Option 1.2 2017-10-16 4 A 0 50000 0 A 2018-10-16 2027-10-16 Common Stock 50000 50000 D Correction to back-out previous filing dated 10/24/2017 with incorrect information. 25% of the shares subject to vest on 10/16/2018 with the remaining shares vesting at 1/36th per month. Granted by the issuer under the 2016 Stock Option Plan. /s/Tamara S Allen 2017-10-24