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