0001144204-18-000302.txt : 20180102 0001144204-18-000302.hdr.sgml : 20180102 20180102191928 ACCESSION NUMBER: 0001144204-18-000302 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180101 FILED AS OF DATE: 20180102 DATE AS OF CHANGE: 20180102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pan Wayne T CENTRAL INDEX KEY: 0001608075 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36305 FILM NUMBER: 18503055 MAIL ADDRESS: STREET 1: 2330 NW EVERETT STREET CITY: PORTLAND STATE: OR ZIP: 97210 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Semler Scientific, Inc. CENTRAL INDEX KEY: 0001554859 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 261367393 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2330 N.W. EVERETT STREET CITY: PORTLAND STATE: OR ZIP: 97210 BUSINESS PHONE: 408-627-4557 MAIL ADDRESS: STREET 1: 2330 N.W. EVERETT STREET CITY: PORTLAND STATE: OR ZIP: 97210 4 1 tv481759_form4.xml FORM 4 X0306 4 2018-01-01 0 0001554859 Semler Scientific, Inc. SMLR 0001608075 Pan Wayne T C/O SEMLER SCIENTIFIC, INC. 911 BERN COURT SAN JOSE CA 95112 1 0 0 0 Stock Option (right to buy) 8.00 2018-01-01 4 A 0 5000 0 A 2028-01-01 Common Stock 5000 5000 D This option was granted under the issuer's 2014 Stock Incentive Plan. The option will vest in full on the one year anniversary of the grant date. /s/ Dan Conger, attorney-in-fact 2018-01-02