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