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