0001571049-15-007798.txt : 20150921
0001571049-15-007798.hdr.sgml : 20150921
20150921162114
ACCESSION NUMBER: 0001571049-15-007798
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150918
FILED AS OF DATE: 20150921
DATE AS OF CHANGE: 20150921
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: Garfield Greg Shaw
CENTRAL INDEX KEY: 0001594406
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36305
FILM NUMBER: 151117597
MAIL ADDRESS:
STREET 1: C/O SEMLER SCIENTIFIC, INC.
STREET 2: 2330 NW EVERETT ST.
CITY: PORTLAND
STATE: OR
ZIP: 97210
4
1
t1502168_x5-garfield.xml
OWNERSHIP DOCUMENT
X0306
4
2015-09-18
0
0001554859
Semler Scientific, Inc.
SMLR
0001594406
Garfield Greg Shaw
C/O SEMLER SCIENTIFIC, INC.
2330 NW EVERETT ST.
PORTLAND
OR
97210
1
0
0
0
Common Stock Warrant (right to buy)
4.5
2015-09-18
4
D
0
12000
0
D
2016-07-31
Common Stock
12000
0
I
By Greg and Dori Garfield Living Revocable Trust
Common Stock Warrant (right to buy)
4.5
2015-09-18
4
A
0
12000
0
A
2023-07-31
Common Stock
12000
12000
I
By Greg and Dori Garfield Living Revocable Trust
The two reported transactions involved an amendment of an outstanding warrant, resulting in the deemed cancellation of the "old" warrant and the grant of a replacement warrant. The warrant was originally issued on July 1, 2013.
/s/ Daniel E. Conger, attorney-in-fact
2015-09-21