0001096906-21-002577.txt : 20211025 0001096906-21-002577.hdr.sgml : 20211025 20211025175632 ACCESSION NUMBER: 0001096906-21-002577 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211022 FILED AS OF DATE: 20211025 DATE AS OF CHANGE: 20211025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MCMULLEN TIMOTHY P CENTRAL INDEX KEY: 0001890237 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38011 FILM NUMBER: 211345187 MAIL ADDRESS: STREET 1: 11940 JOLLYVILLE ROAD STREET 2: SUITE 300-N CITY: AUSTIN STATE: TX ZIP: 78759 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CYNERGISTEK, INC CENTRAL INDEX KEY: 0001011432 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 880350448 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11940 JOLLYVILLE ROAD STREET 2: SUITE 300-N CITY: AUSTIN STATE: TX ZIP: 78759 BUSINESS PHONE: 9496140700 MAIL ADDRESS: STREET 1: 11940 JOLLYVILLE ROAD STREET 2: SUITE 300-N CITY: AUSTIN STATE: TX ZIP: 78759 FORMER COMPANY: FORMER CONFORMED NAME: AUXILIO INC DATE OF NAME CHANGE: 20040622 FORMER COMPANY: FORMER CONFORMED NAME: PEOPLEVIEW INC DATE OF NAME CHANGE: 20040329 FORMER COMPANY: FORMER CONFORMED NAME: E PERCEPTION INC DATE OF NAME CHANGE: 20020118 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2021-10-22 0 0001011432 CYNERGISTEK, INC CTEK 0001890237 MCMULLEN TIMOTHY P 11940 JOLLYVILLE ROAD SUITE 300-N AUSTIN TX 78759 0 1 0 0 Chief Operating Officer Employee stock option (right to buy) 1.7400 2021-10-22 4 A 0 150000.0000 0.0000 A 2031-10-21 Common Stock 150000.0000 150000.0000 D The option vests in three equal annual installments beginning October 22, 2022. /s/ Timothy P. McMullen 2021-10-25