0001571049-16-012007.txt : 20160222 0001571049-16-012007.hdr.sgml : 20160222 20160222164508 ACCESSION NUMBER: 0001571049-16-012007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160218 FILED AS OF DATE: 20160222 DATE AS OF CHANGE: 20160222 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: 161445579 MAIL ADDRESS: STREET 1: C/O SEMLER SCIENTIFIC, INC. STREET 2: 2330 NW EVERETT ST. CITY: PORTLAND STATE: OR ZIP: 97210 4 1 t1600478x1_murphy-f4.xml OWNERSHIP DOCUMENT X0306 4 2016-02-18 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) 2.23 2016-02-18 4 A 0 125000 0 A 2026-02-18 Common Stock 125000 125000 D This option was granted under the issuer's 2014 Stock Incentive Plan. 25% of the shares subject to the option will vest in full on the one year anniversary of the grant date, and the remaining shares will vest monthly over three years, such that the option is vested in full on the four year anniversary of the grant date. /s/ Douglas Murphy-Chutorian, M.D. 2016-02-22