0001445866-19-001396.txt : 20191115
0001445866-19-001396.hdr.sgml : 20191115
20191115185105
ACCESSION NUMBER: 0001445866-19-001396
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191113
FILED AS OF DATE: 20191115
DATE AS OF CHANGE: 20191115
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Meadows Theresa Zak
CENTRAL INDEX KEY: 0001710731
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38011
FILM NUMBER: 191225729
MAIL ADDRESS:
STREET 1: 27271 LAS RAMBLAS, STE. 200
CITY: MISSION VIEJO
STATE: CA
ZIP: 92691
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: NV
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
2019-11-13
0
0001011432
CYNERGISTEK, INC
CTEK
0001710731
Meadows Theresa Zak
11940 JOLLYVILLE ROAD, STE. 300N
AUSTIN
TX
78759
1
0
0
0
Restricted Stock Units
2019-11-13
4
A
0
10000.0000
0.0000
A
Common Stock
10000.0000
10000.0000
D
Subject to the terms and conditions of a Restricted Stock Unit Agreement between Issuer and Reporting Person, each restricted stock unit represents a contingent right to receive one share of Issuer's common stock
The restricted stock units vest one year from the date of grant. Vested shares will be delivered per terms listed in the RSU Grant Agreement
/s/ Theresa Meadows
2019-11-13