0001571049-15-008590.txt : 20151030 0001571049-15-008590.hdr.sgml : 20151030 20151030060324 ACCESSION NUMBER: 0001571049-15-008590 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: Semler Herbert J CENTRAL INDEX KEY: 0001594356 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36305 FILM NUMBER: 151185249 MAIL ADDRESS: STREET 1: C/O SEMLER SCIENTIFIC, INC. STREET 2: 2330 NW EVERETT ST. CITY: PORTLAND STATE: OR ZIP: 97210 4 1 t1502472x2-hsemler.xml OWNERSHIP DOCUMENT X0306 4 2015-10-29 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 Stock Option (right to buy) 3.44 2015-10-29 4 A 0 27500 0 A 2025-10-28 Common Stock 27500 27500 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/ Daniel E. Conger, attorney-in-fact 2015-10-29