0001209191-17-004668.txt : 20170119 0001209191-17-004668.hdr.sgml : 20170119 20170119192116 ACCESSION NUMBER: 0001209191-17-004668 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170118 FILED AS OF DATE: 20170119 DATE AS OF CHANGE: 20170119 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: 17537221 MAIL ADDRESS: STREET 1: 161 BAY STREET, SUITE 4000 CITY: TORONTO STATE: A6 ZIP: M5J 2S1 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-01-18 0 0001272842 AIRGAIN INC AIRG 0001682049 Kordyback Frances C/O AIRGAIN, INC. 3611 VALLEY CENTRE DRIVE, SUITE 150 SAN DIEGO CA 92130 1 0 0 0 Common Stock 2017-01-18 4 M 0 2000 2.20 A 2000 D Stock Option (Right to Buy) 2.20 2017-01-18 4 M 0 2000 0.00 D 2007-01-24 2017-01-23 Common Stock 2000 0 D /s/ Frances Kordyback 2017-01-19