0001571049-15-006070.txt : 20150731 0001571049-15-006070.hdr.sgml : 20150731 20150731164759 ACCESSION NUMBER: 0001571049-15-006070 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150730 FILED AS OF DATE: 20150731 DATE AS OF CHANGE: 20150731 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: Pan Wayne T CENTRAL INDEX KEY: 0001608075 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36305 FILM NUMBER: 151019844 MAIL ADDRESS: STREET 1: 2330 NW EVERETT STREET CITY: PORTLAND STATE: OR ZIP: 97210 4 1 t1501762x1-pan.xml OWNERSHIP DOCUMENT X0306 4 2015-07-30 0 0001554859 Semler Scientific, Inc. SMLR 0001608075 Pan Wayne T C/O SEMLER SCIENTIFIC, INC. 2330 NW EVERETT ST. PORTLAND OR 97210 1 0 0 0 Stock Option (right to buy) 3.35 2015-07-30 4 A 0 5000 0 A 2015-07-30 2025-07-30 Common Stock 5000 5000 D This option was granted under the issuer's 2014 Stock Incentive Plan. The option is fully vested on the grant date. /s/ Dan Conger, attorney-in-fact 2015-07-31