0001209191-18-057472.txt : 20181106 0001209191-18-057472.hdr.sgml : 20181106 20181106194552 ACCESSION NUMBER: 0001209191-18-057472 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181102 FILED AS OF DATE: 20181106 DATE AS OF CHANGE: 20181106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cushman Davin CENTRAL INDEX KEY: 0001757623 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27687 FILM NUMBER: 181164441 MAIL ADDRESS: STREET 1: C/O BSQUARE CORPORATION STREET 2: 110 110TH AVE NE SUITE 300 CITY: BELLEVUE STATE: WA ZIP: 98004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BSQUARE CORP /WA CENTRAL INDEX KEY: 0001054721 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 911650880 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 110 110TH AVENUE NE, SUITE 300 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 4255195900 MAIL ADDRESS: STREET 1: 110 110TH AVENUE NE, SUITE 300 CITY: BELLEVUE STATE: WA ZIP: 98004 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-11-02 0 0001054721 BSQUARE CORP /WA BSQR 0001757623 Cushman Davin 110 110TH AVE NE SUITE 300 BELLEVUE WA 98004 1 0 0 0 Common Stock, no par value 2018-11-02 4 A 0 14480 0.00 A 14480 D Non-Qualified Stock Options (Right to Buy) 2.28 2018-11-02 4 A 0 25000 0.00 A 2019-02-02 2028-11-01 Common Stock, no par value 25000 25000 D These restricted stock units vest quarterly in equal amounts over one year. The option vests quarterly in equal amounts over two years. /s/ Davin Cushman 2018-11-06