0001571049-15-008589.txt : 20151030 0001571049-15-008589.hdr.sgml : 20151030 20151030060244 ACCESSION NUMBER: 0001571049-15-008589 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151029 FILED AS OF DATE: 20151030 DATE AS OF CHANGE: 20151030 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: 151185247 MAIL ADDRESS: STREET 1: 2330 NW EVERETT STREET CITY: PORTLAND STATE: OR ZIP: 97210 4 1 t1502472x1-pan.xml OWNERSHIP DOCUMENT X0306 4 2015-10-29 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) 3.44 2015-10-29 4 A 0 19750 0 A 2025-10-28 Common Stock 19750 19750 D This option was granted under the issuer's 2014 Stock Incentive Plan and was approved in July 2015 contingent upon stockholder approval, which was received October 29, 2015. The option will vest monthly over one year beginning July 21, 2015. /s/ Dan Conger, attorney-in-fact 2015-10-29