0001079973-20-000284.txt : 20200413 0001079973-20-000284.hdr.sgml : 20200413 20200413172630 ACCESSION NUMBER: 0001079973-20-000284 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20200301 FILED AS OF DATE: 20200413 DATE AS OF CHANGE: 20200413 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Siecke Donald E. CENTRAL INDEX KEY: 0001664454 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54319 FILM NUMBER: 20789459 MAIL ADDRESS: STREET 1: 12441 W 49TH AVE., UNIT 4 CITY: WHEAT RIDGE STATE: CO ZIP: 80033 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lifeloc Technologies, Inc CENTRAL INDEX KEY: 0001493137 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826] IRS NUMBER: 841053680 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 12441 WEST 49TH AVE UNIT #4 CITY: WHEAT RIDGE STATE: CO ZIP: 80033 BUSINESS PHONE: 303-431-9500 MAIL ADDRESS: STREET 1: 12441 WEST 49TH AVE UNIT #4 CITY: WHEAT RIDGE STATE: CO ZIP: 80033 FORMER COMPANY: FORMER CONFORMED NAME: Lifeloc Technologies Inc DATE OF NAME CHANGE: 20100601 4 1 ownership.xml X0306 4 2020-03-01 0 0001493137 Lifeloc Technologies, Inc LCTC 0001664454 Siecke Donald E. 12441 W. 49TH AVENUE, UNIT 4 WHEAT RIDGE CO 80033 1 0 0 0 Stock Options (Right to Buy) 3.80 2020-03-01 4 A 0 1000 0.00 A 2020-03-01 2025-03-01 Common Stock 1000 1000 D The stock options were granted under the issuer's 2013 Stock Option Plan and vested immediately upon granting. /s/ Vern Kornelsen Attorney-in-fact 2020-04-10 EX-24 2 ex241-siecke.htm EXHIBIT 24.1

EX-24.1

 

POWER OF ATTORNEY

 

Know all by these presents that the undersigned hereby constitutes and appoints each of Vern D. Kornelsen and Kristie LaRose to be the undersigned's true and lawful attorneys-in-fact to:

 

(1) execute for and on behalf of the undersigned, in the undersigned's capacity as a director of Lifeloc Technologies, Inc. (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;

 

(2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such form with the SEC and any stock exchange or similar authority; and

 

(3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.

 

The undersigned hereby grants to such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

 

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 10th day of April, 2020.

 

 

/s/ Donald E. Siecke

Donald E. Siecke