0001104659-23-061830.txt : 20230517
0001104659-23-061830.hdr.sgml : 20230517
20230517160746
ACCESSION NUMBER: 0001104659-23-061830
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230516
FILED AS OF DATE: 20230517
DATE AS OF CHANGE: 20230517
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Murphy-Chutorian Douglas
CENTRAL INDEX KEY: 0001594342
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36305
FILM NUMBER: 23931732
MAIL ADDRESS:
STREET 1: C/O SEMLER SCIENTIFIC, INC.
STREET 2: 911 BERN COURT, SUITE 110
CITY: SAN JOSE
STATE: CA
ZIP: 95112
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Semler Scientific, Inc.
CENTRAL INDEX KEY: 0001554859
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 261367393
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2340-2348 WALSH AVENUE, SUITE 2344
CITY: SANTA CLARA
STATE: CA
ZIP: 95051
BUSINESS PHONE: 408-627-4557
MAIL ADDRESS:
STREET 1: 2340-2348 WALSH AVENUE, SUITE 2344
CITY: SANTA CLARA
STATE: CA
ZIP: 95051
4
1
tm2316043-1_4seq1.xml
OWNERSHIP DOCUMENT
X0407
4
2023-05-16
0
0001554859
Semler Scientific, Inc.
SMLR]
0001594342
Murphy-Chutorian Douglas
C/O SEMLER SCIENTIFIC, INC.
2340-2348 WALSH AVENUE, SUITE 2344
SANTA CLARA
CA
95051
1
1
1
0
Interim CEO
0
Common Stock Warrant (right to buy)
4.00
2023-05-16
4
D
0
16875
25.74
D
2012-06-07
2023-07-31
Common Stock
16875
0
I
By Trust
Common Stock Warrant (right to buy
4.50
2023-05-16
4
D
0
60000
25.24
D
2013-07-31
2023-07-31
Common Stock
60000
0
I
By Trust
The Reporting Person sold these warrants to the Issuer. The net purchase price per warrant reflects the difference between the aggregate exercise price of the warrant and the aggregate fair market value of the shares underlying the warrant, based on the last trade price of the Issuer's common stock on May 16, 2023. The net sale dollar amount was $1,948,762.50 in total received from the Issuer.
The warrants were held by the Murphy-Chutorian Family Trust U/D/T dated January 13, 1997, of which the Reporting Person is co-Trustee with his spouse.
/s/ Douglas Murphy-Chutorian, M.D.
2023-05-17