0001571049-18-000322.txt : 20180604
0001571049-18-000322.hdr.sgml : 20180604
20180604182212
ACCESSION NUMBER: 0001571049-18-000322
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180601
FILED AS OF DATE: 20180604
DATE AS OF CHANGE: 20180604
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Conger Daniel E
CENTRAL INDEX KEY: 0001594346
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36305
FILM NUMBER: 18879514
MAIL ADDRESS:
STREET 1: C/O SEMLER SCIENTIFIC, INC.
STREET 2: 2330 NW EVERETT ST.
CITY: PORTLAND
STATE: OR
ZIP: 97210
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: 2330 N.W. EVERETT STREET
CITY: PORTLAND
STATE: OR
ZIP: 97210
BUSINESS PHONE: 408-627-4557
MAIL ADDRESS:
STREET 1: 2330 N.W. EVERETT STREET
CITY: PORTLAND
STATE: OR
ZIP: 97210
4
1
tv495851_form4.xml
FORM 4
X0306
4
2018-06-01
0
0001554859
Semler Scientific, Inc.
SMLR
0001594346
Conger Daniel E
C/O SEMLER SCIENTIFIC, INC.
2330 NW EVERETT ST.
PORTLAND
OR
97210
0
1
0
0
Vice President, Finance
Common Stock
2018-06-01
4
M
0
6500
0.52
A
6500
D
Common Stock
2018-06-01
4
M
0
6500
0.52
A
13000
D
Common Stock
2018-06-01
4
M
0
6500
0.52
A
19500
D
Common Stock
2018-06-01
4
M
0
10000
0.52
A
29500
D
Common Stock
2018-06-01
4
S
0
29500
12.00
D
0
D
Stock Option (Right to Buy)
0.52
2018-06-01
4
M
0
6500
0
D
2020-11-01
Common Stock
6500
0
D
Stock Option (Right to Buy)
0.52
2018-06-01
4
M
0
6500
0
D
2021-06-10
Common Stock
6500
0
D
Stock Option (Right to Buy)
0.52
2018-06-01
4
M
0
6500
0
D
2022-01-05
Common Stock
6500
0
D
Stock Option (Right to Buy)
0.52
2018-06-01
4
M
0
10000
0
D
2022-11-21
Common Stock
10000
0
D
The price reported is a weighted average price. The shares were sold at prices ranging from $12.00 to $12.04. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.
These options were granted pursuant to the Issuer's 2007 Key Person Stock Option Plan and are fully vested.
/s/ Dan Conger
2018-06-04