Hemosense Inc - Statement of Changes in Beneficial Ownership (4)
20 10월 2007 - 4:56AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public
Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
STILL TIMOTHY I
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2. Issuer Name
and
Ticker or Trading Symbol
HEMOSENSE INC
[
HEM
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Exec. VP, Sales and Marketing
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(Last)
(First)
(Middle)
C/O HEMOSENSE, INC., 651 RIVER OAKS PKWY
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3. Date of Earliest Transaction
(MM/DD/YYYY)
10/18/2007
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(Street)
SAN JOSE, CA 95134
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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10/18/2007
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M
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65000
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A
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$0.80
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65000
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D
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Common Stock
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10/18/2007
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M
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10832
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A
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$0.80
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10832
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock Option (right to buy)
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$0.80
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10/18/2007
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M
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65000
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(1)
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7/22/2014
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Common Stock
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65000
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$0
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0
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D
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Stock Option (right to buy)
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$0.80
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10/18/2007
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M
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10832
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(2)
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2/17/2015
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Common Stock
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10832
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$0
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1668
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D
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Explanation of Responses:
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(
1)
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25% of the shares subject to the option vested on June 7, 2004 and from such time, 1/48 of the total number of shares subject to the option vested on the first calendar day of each month thereafter. The option includes provisions for 100% change-in-control acceleration and 20% acceleration upon the effective date of the Company's initial public offering.
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(
2)
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25% of the shares subject to the option vested on February 17, 2005 and from such time, 1/48 of the total number of shares subject to the option vested on the first calendar day of each month thereafter. The option includes provisions for 100% change-in-control acceleration and 20% acceleration upon the effective date of the Company's initial public offering.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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STILL TIMOTHY I
C/O HEMOSENSE, INC.
651 RIVER OAKS PKWY
SAN JOSE, CA 95134
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Exec. VP, Sales and Marketing
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Signatures
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/s/ TIMOTHY I. STILL
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10/19/2007
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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Hemosense (AMEX:HEM)
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부터 11월(11) 2023 으로 11월(11) 2024
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