0001144204-18-012275.txt : 20180301 0001144204-18-012275.hdr.sgml : 20180301 20180301164003 ACCESSION NUMBER: 0001144204-18-012275 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171207 FILED AS OF DATE: 20180301 DATE AS OF CHANGE: 20180301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chang William H CENTRAL INDEX KEY: 0001594408 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36305 FILM NUMBER: 18658066 MAIL ADDRESS: STREET 1: C/O SEMLER SCIENTIFIC, INC. STREET 2: 2330 NW EVERETT ST. 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 tv487445_4.xml OWNERSHIP DOCUMENT X0306 4 2017-12-07 0 0001554859 Semler Scientific, Inc. SMLR 0001594408 Chang William H C/O SEMLER SCIENTIFIC, INC. 911 BERN CT. SAN JOSE CA 95112 0 0 1 0 Common Stock 2017-12-07 4 X 0 114286 1.75 A 1079592 I By Chang Family Trust Common Stock 2017-12-07 4 X 0 114286 1.75 A 1193878 I By Chang Family Trust Common Stock Warrant (right to buy) 1.75 2017-12-07 4 X 0 114286 0 D 2016-01-15 2018-01-15 Common Stock 114286 0 I By Chang Family Trust Common Stock Warrant (right to buy) 1.75 2017-12-07 4 X 0 114286 0 D 2016-01-21 2018-01-21 Common Stock 114286 0 I By Chang Family Trust /s/ Daniel E. Conger, attorney-in-fact 2018-03-01