0001571049-16-010482.txt : 20160104 0001571049-16-010482.hdr.sgml : 20160104 20160104203321 ACCESSION NUMBER: 0001571049-16-010482 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160104 DATE AS OF CHANGE: 20160104 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: Murphy-Chutorian Douglas CENTRAL INDEX KEY: 0001594342 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36305 FILM NUMBER: 161319958 MAIL ADDRESS: STREET 1: C/O SEMLER SCIENTIFIC, INC. STREET 2: 2330 NW EVERETT ST. CITY: PORTLAND STATE: OR ZIP: 97210 4 1 t1600012x2_murphy-f4.xml OWNERSHIP DOCUMENT X0306 4 2015-12-31 0 0001554859 Semler Scientific, Inc. SMLR 0001594342 Murphy-Chutorian Douglas C/O SEMLER SCIENTIFIC, INC. 2330 NW EVERETT ST. PORTLAND OR 97210 1 1 0 0 Chief Executive Officer Stock Option (right to buy) 2.56 2015-12-31 4 A 0 60000 0 A 2025-12-30 Common Stock 60000 60000 D This fully vested option was granted under the issuer's 2014 Stock Incentive Plan. /s/ Douglas Murphy-Chutorian, M.D. 2016-01-04