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