0001144204-18-000300.txt : 20180102
0001144204-18-000300.hdr.sgml : 20180102
20180102191613
ACCESSION NUMBER: 0001144204-18-000300
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180101
FILED AS OF DATE: 20180102
DATE AS OF CHANGE: 20180102
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LEIBOWITZ ARTHUR N
CENTRAL INDEX KEY: 0001251970
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36305
FILM NUMBER: 18503053
MAIL ADDRESS:
STREET 1: C/O I-TRAX INC
STREET 2: ONE LOGAN SQUARE STE 2615
CITY: PHILADELPHIA
STATE: PA
ZIP: 19103
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Semler Scientific, Inc.
CENTRAL INDEX KEY: 0001554859
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 261367393
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2330 N.W. EVERETT STREET
CITY: PORTLAND
STATE: OR
ZIP: 97210
BUSINESS PHONE: 408-627-4557
MAIL ADDRESS:
STREET 1: 2330 N.W. EVERETT STREET
CITY: PORTLAND
STATE: OR
ZIP: 97210
4
1
tv481758_form4.xml
FORM 4
X0306
4
2018-01-01
0
0001554859
Semler Scientific, Inc.
SMLR
0001251970
LEIBOWITZ ARTHUR N
C/O SEMLER SCIENTIFIC, INC.
911 BERN COURT
SAN JOSE
CA
95112
1
0
0
0
Stock Option (right to buy)
8.00
2018-01-01
4
A
0
5000
0
A
2028-01-01
Common Stock
5000
5000
D
This option was granted under the issuer's 2014 Stock Incentive Plan. The option will vest in full on the one year anniversary of the grant date.
/s/ Daniel E. Conger, attorney-in-fact
2018-01-02