0001213900-21-058166.txt : 20211110 0001213900-21-058166.hdr.sgml : 20211110 20211110164532 ACCESSION NUMBER: 0001213900-21-058166 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211108 FILED AS OF DATE: 20211110 DATE AS OF CHANGE: 20211110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Odence-Ford Marion CENTRAL INDEX KEY: 0001845002 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38543 FILM NUMBER: 211397428 MAIL ADDRESS: STREET 1: 400 WATER STREET STREET 2: SUITE 200 CITY: ROCHESTER STATE: MI ZIP: 48307 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OptimizeRx Corp CENTRAL INDEX KEY: 0001448431 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 261265381 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 WATER ST., STE. 200 CITY: ROCHESTER STATE: MI ZIP: 48307 BUSINESS PHONE: 248-651-6558 MAIL ADDRESS: STREET 1: 400 WATER ST., STE. 200 CITY: ROCHESTER STATE: MI ZIP: 48307 4 1 ownership.xml X0306 4 2021-11-08 0 0001448431 OptimizeRx Corp OPRX 0001845002 Odence-Ford Marion 400 WATER STREET, SUITE 200 ROCHESTER MI 48307 0 1 0 0 General Counsel and CCO Stock Option 93.37 2021-11-08 4 A 0 10958 0 D 2022-11-08 2026-11-08 Common Stock 10958 10958 D Restricted Stock Units 2021-11-08 4 A 0 5355 0 D 2024-11-08 Common Stock 5335 25335 D The Stock Option will vest 1/3 at the end of each anniversary from issuance. Each restricted stock unit represents a contingent right to receive one share of the OptimizeRx's common stock. The restricted stock units will vest 1/3 at the end of each anniversary from issuance. Any restricted stock unit that has not been earned and vested as of the third anniversary of the grant date will be forfeited. Vesting of the restricted stock units shall accelerate upon a qualifying termination. /s/ Marion Odence-Ford 2021-11-10