0001571049-16-010483.txt : 20160104 0001571049-16-010483.hdr.sgml : 20160104 20160104203341 ACCESSION NUMBER: 0001571049-16-010483 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: Garfield Greg Shaw CENTRAL INDEX KEY: 0001594406 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36305 FILM NUMBER: 161319960 MAIL ADDRESS: STREET 1: C/O SEMLER SCIENTIFIC, INC. STREET 2: 2330 NW EVERETT ST. CITY: PORTLAND STATE: OR ZIP: 97210 4 1 t1600012x3_f4-shaw.xml OWNERSHIP DOCUMENT X0306 4 2015-12-31 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 Stock Option (right to buy) 2.56 2015-12-31 4 A 0 6667 0 A 2025-12-30 Common Stock 6667 6667 D This fully vested option was granted under the issuer's 2014 Stock Incentive Plan. /s/ Daniel E. Conger, attorney-in-fact 2016-01-04