0001571049-16-010485.txt : 20160104
0001571049-16-010485.hdr.sgml : 20160104
20160104203418
ACCESSION NUMBER: 0001571049-16-010485
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: Pan Wayne T
CENTRAL INDEX KEY: 0001608075
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36305
FILM NUMBER: 161319962
MAIL ADDRESS:
STREET 1: 2330 NW EVERETT STREET
CITY: PORTLAND
STATE: OR
ZIP: 97210
4
1
t1600012_x5-f4.xml
OWNERSHIP DOCUMENT
X0306
4
2015-12-31
0
0001554859
Semler Scientific, Inc.
SMLR
0001608075
Pan Wayne T
C/O SEMLER SCIENTIFIC, INC.
2330 NW EVERETT STREET
PORTLAND
OR
97210
1
0
0
0
Stock Option (right to buy)
2.56
2015-12-31
4
A
0
6583
0
A
2025-12-30
Common Stock
6583
6583
D
This fully vested option was granted under the issuer's 2014 Stock Incentive Plan.
/s/ Dan Conger, attorney-in-fact
2016-01-04