0001593968-22-000155.txt : 20220105
0001593968-22-000155.hdr.sgml : 20220105
20220105172023
ACCESSION NUMBER: 0001593968-22-000155
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220103
FILED AS OF DATE: 20220105
DATE AS OF CHANGE: 20220105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Seloff Diane
CENTRAL INDEX KEY: 0001758260
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31932
FILM NUMBER: 22512333
MAIL ADDRESS:
STREET 1: 11601 WILLSHIRE BLVD, SUITE 1100
CITY: LOS ANGELES
STATE: CA
ZIP: 90025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Ontrak, Inc.
CENTRAL INDEX KEY: 0001136174
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
IRS NUMBER: 880464853
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2120 COLORADO AVE
STREET 2: SUITE 230
CITY: SANTA MONICA
STATE: CA
ZIP: 90404
BUSINESS PHONE: 310 444 4300
MAIL ADDRESS:
STREET 1: 2120 COLORADO AVE
STREET 2: SUITE 230
CITY: SANTA MONICA
STATE: CA
ZIP: 90404
FORMER COMPANY:
FORMER CONFORMED NAME: CATASYS, INC.
DATE OF NAME CHANGE: 20110316
FORMER COMPANY:
FORMER CONFORMED NAME: HYTHIAM, INC.
DATE OF NAME CHANGE: 20101029
FORMER COMPANY:
FORMER CONFORMED NAME: HYTHIAM INC
DATE OF NAME CHANGE: 20031003
4
1
primary_01.xml
PRIMARY DOCUMENT
X0306
4
2022-01-03
0001136174
Ontrak, Inc.
OTRK
0001758260
Seloff Diane
2120 COLORADO AVE.
SUITE 230
SANTA MONICA
CA
90404
true
false
false
false
Option (right to buy)
8.72
2022-01-03
4
A
false
49081
0
A
2022-03-31
2027-01-03
Ontrak, Inc. Common Stock
49081
49081
D
These securities were granted to Ms. Seloff for her services as a member of the Company's Board of Directors.
25% of these options shall vest at the at the end of each quarter beginning January 1, 2022, such that all shares pursuant to the option shall be vested on December 31, 2022. Quarterly vesting of the options will be subject to Ms. Seloff attending board meetings, unless such absence is excused by the Chairman of the Board.
/s/ Diane Seloff
2022-01-05