0001571049-15-005715.txt : 20150720
0001571049-15-005715.hdr.sgml : 20150720
20150720191834
ACCESSION NUMBER: 0001571049-15-005715
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150715
FILED AS OF DATE: 20150720
DATE AS OF CHANGE: 20150720
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Semler Shirley L.
CENTRAL INDEX KEY: 0001594358
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36305
FILM NUMBER: 15996682
MAIL ADDRESS:
STREET 1: C/O SEMLER SCIENTIFIC, INC.
STREET 2: 2330 NW EVERETT ST.
CITY: PORTLAND
STATE: OR
ZIP: 97210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Semler Herbert J
CENTRAL INDEX KEY: 0001594356
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36305
FILM NUMBER: 15996683
MAIL ADDRESS:
STREET 1: C/O SEMLER SCIENTIFIC, INC.
STREET 2: 2330 NW EVERETT ST.
CITY: PORTLAND
STATE: OR
ZIP: 97210
4
1
t1501641-semler.xml
OWNERSHIP DOCUMENT
X0306
4
2015-07-15
0
0001554859
Semler Scientific, Inc.
SMLR
0001594356
Semler Herbert J
C/O SEMLER SCIENTIFIC, INC.
2330 NW EVERETT ST.
PORTLAND
OR
97210
1
0
1
0
0001594358
Semler Shirley L.
C/O SEMLER SCIENTIFIC, INC.
2330 NW EVERETT ST.
PORTLAND
OR
97210
1
0
1
0
Common Stock
2015-07-15
4
S
0
33333
3.00
D
524558
I
By Herbert J. Semler and Shirley L. Semler, as Co- Trustees of the Semler Trust
These securities are held by the Semler Trust and may be deemed to be beneficially owned by Herbert J. Semler and Shirley L. Semler as Co-Trustees of the Semler Trust. Shirley L. Semler is also a director of the Company. Prior to the sale reported herein by the reporting persons, the shares were transferred into the Herbert J Semler Trust as record stockholder.
/s/ Dan Conger, attorney-in-fact for Herbert J. Semler
2015-07-20
/s/ Dan Conger, attorney-in-fact for Shirley L. Semler
2015-07-20