0001144204-19-024264.txt : 20190507
0001144204-19-024264.hdr.sgml : 20190507
20190507164708
ACCESSION NUMBER: 0001144204-19-024264
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190503
FILED AS OF DATE: 20190507
DATE AS OF CHANGE: 20190507
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Murphy-Chutorian Douglas
CENTRAL INDEX KEY: 0001594342
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36305
FILM NUMBER: 19803815
MAIL ADDRESS:
STREET 1: C/O SEMLER SCIENTIFIC, INC.
STREET 2: 911 BERN COURT, SUITE 110
CITY: SAN JOSE
STATE: CA
ZIP: 95112
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: 911 BERN COURT, SUITE 110
CITY: SAN JOSE
STATE: CA
ZIP: 95112
BUSINESS PHONE: 408-627-4557
MAIL ADDRESS:
STREET 1: 911 BERN COURT, SUITE 110
CITY: SAN JOSE
STATE: CA
ZIP: 95112
4
1
tv520906_4.xml
FORM 4
X0306
4
2019-05-03
0
0001554859
Semler Scientific, Inc.
SMLR
0001594342
Murphy-Chutorian Douglas
C/O SEMLER SCIENTIFIC, INC.
911 BERN COURT
SAN JOSE
CA
95112
1
1
1
0
Chief Executive Officer
Common Stock Warrant (right to buy)
4.5
2019-05-03
4
D
0
65452
41.00
D
2015-09-18
2023-07-31
Common Stock
65452
0
I
By Trust
The Reporting Person sold these warrants to the Issuer. The net purchase price per warrant was $41.00 and the net sale dollar amount was $2,687,222.00 in total received from the Issuer.
The warrants were held by the Murphy-Chutorian Family Trust U/D/T dated January 13, 1997, of which the Reporting Person is co-Trustee with his spouse.
/s/ Douglas Murphy-Chutorian, M.D.
2019-05-07