SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Simplot Taiwan Inc.

(Last) (First) (Middle)
1099 WEST FRONT STREET

(Street)
BOISE ID 83702

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SemiLEDs Corp [ LEDS ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/26/2020
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 1,489,934(1) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Convertible Unsecured Promissory Note $3 05/26/2020 C(1) $300,000(1) 11/25/2019 (2) Common Stock 100,000 $0.00 400,000(3) D
Explanation of Responses:
1. On February 7, 2020, J.R. Simplot Company, the sole owner of Simplot Taiwan Inc., assigned a Convertible Unsecured Promissory Note initially issued to J.R. Simplot Company in the original principal amount of $1,500,000 (the "Note"), to Simplot Taiwan Inc. for no consideration. The Note is convertible into Common Stock at any time at a conversion price of $3.00 per share. On May 26, 2020, Simplot Taiwan Inc. converted $300,000 of the Note into 100,000 shares of Common Stock. Previously, Simplot Taiwan Inc. had included the 500,000 shares into which the Note was convertible in its total shares of Common Stock owned directly, as such shares could be acquired within 60 days, along with 989,934 shares of Common Stock owned of record. As of this filing, the shares owned directly consists of 1,089,934 shares of Common Stock owned of record and 400,000 shares of Common Stock into which the Note is convertible.
2. The Note has no expiration date.
3. Consists of the number of shares into which the remaining principal balance of the Note is convertible following the conversion described above. Accordingly, J Simplot Taiwan Inc. may be deemed to have voting and investment power over the shares into which such Note is convertible.
Remarks:
/s/ Scott R. Simplot as Director of Simplot Taiwan Inc. 05/28/2020
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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