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