0001140361-16-088866.txt : 20161205 0001140361-16-088866.hdr.sgml : 20161205 20161205214622 ACCESSION NUMBER: 0001140361-16-088866 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20161202 FILED AS OF DATE: 20161205 DATE AS OF CHANGE: 20161205 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AIRGAIN INC CENTRAL INDEX KEY: 0001272842 STANDARD INDUSTRIAL CLASSIFICATION: RADIO & TV BROADCASTING & COMMUNICATIONS EQUIPMENT [3663] IRS NUMBER: 200281763 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3611 VALLEY CENTRE DRIVE STREET 2: SUITE 150 CITY: SAN DIEGO STATE: CA ZIP: 92130 BUSINESS PHONE: (760) 579-0200 MAIL ADDRESS: STREET 1: 3611 VALLEY CENTRE DRIVE STREET 2: SUITE 150 CITY: SAN DIEGO STATE: CA ZIP: 92130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kordyback Frances CENTRAL INDEX KEY: 0001682049 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37851 FILM NUMBER: 162035088 MAIL ADDRESS: STREET 1: 161 BAY STREET, SUITE 4000 CITY: TORONTO STATE: A6 ZIP: M5J 2S1 4 1 doc1.xml FORM 4 X0306 4 2016-12-02 0 0001272842 AIRGAIN INC AIRG 0001682049 Kordyback Frances C/O AIRGAIN, INC. 3611 VALLEY CENTRE DRIVE, SUITE 150 SAN DIEGO CA 92130 1 0 1 0 Stock Option (Right to Buy) 2.6 2016-12-02 4 J 0 2000 0 A 2021-01-18 Common Stock 2000 6000 D Stock Option (Right to Buy) 2.3 2016-12-02 4 J 0 2000 0 A 2023-06-12 Common Stock 2000 6000 D Stock Option (Right to Buy) 3.1 2016-12-02 4 J 0 1000 0 A 2024-05-12 Common Stock 1000 3000 D Stock Option (Right to Buy) 1.6 2016-12-02 4 J 0 9323 0 A 2025-06-11 Common Stock 9323 27970 D Stock Option (Right to Buy) 1.9 2016-12-02 4 J 0 3357 0 A 2026-05-24 Common Stock 3357 10070 D See Exhibit 99.1; Note 1. See Exhibit 99.1; Note 2. See Exhibit 99.1; Note 3. Exhibit List: Exhibit 99.1 - Explanation of Responses /s/ Frances Kordyback 2016-12-05 EX-99.1 2 k18735115.htm EXPLANATION OF RESPONSES

Explanation of Responses:

(1) Effective August 2016, Francis X. Egan is no longer associated with Northwater Capital Inc.  Mr. Egan agreed to assign his interest in the stock options reported herein to the Reporting Person.
(2) Pursuant to an agreement between the Reporting Person and Northwater Capital Management Inc., a corporation formed under the laws of the Province Ontario (“NCMI”), NCMI is entitled under the agreement to all economic benefits of such stock options.  The Reporting Person disclaims beneficial ownership of such stock options, and of any shares of common stock received in respect thereof, except to the extent of any indirect pecuniary interest the Reporting Person may have therein resulting from the Reporting Person’s ownership interest in NCMI.
(3) The option is fully vested.