0001571049-16-012016.txt : 20160222
0001571049-16-012016.hdr.sgml : 20160222
20160222164917
ACCESSION NUMBER: 0001571049-16-012016
CONFORMED SUBMISSION TYPE: 3
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: Conger Daniel E
CENTRAL INDEX KEY: 0001594346
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36305
FILM NUMBER: 161445619
MAIL ADDRESS:
STREET 1: C/O SEMLER SCIENTIFIC, INC.
STREET 2: 2330 NW EVERETT ST.
CITY: PORTLAND
STATE: OR
ZIP: 97210
3
1
t1600484_x2-f3.xml
OWNERSHIP DOCUMENT
X0206
3
2016-02-18
0
0001554859
Semler Scientific, Inc.
SMLR
0001594346
Conger Daniel E
C/O SEMLER SCIENTIFIC, INC.
2330 NW EVERETT ST.
PORTLAND
OR
97210
0
1
0
0
Vice President, Finance
Stock Option (right to buy)
0.52
2010-11-01
2020-11-01
Common Stock
6500
D
Stock Option (right to buy)
0.52
2011-06-10
2021-06-10
Common Stock
6500
D
Stock Option (right to buy)
0.52
2012-01-05
2022-01-05
Common Stock
6500
D
Stock Option (right to buy)
0.52
2012-11-21
2022-11-21
Common Stock
10000
D
Stock Option (right to buy)
2.10
2014-11-08
2024-11-08
Common Stock
5000
D
Stock Option (right to buy)
3.44
2015-10-29
2025-10-29
Common Stock
10000
D
Stock Option (right to buy)
2.59
2015-12-31
2025-12-31
Common Stock
10000
D
These options were granted pursuant to the Issuer's 2007 Key Person Stock Option Plan and are fully vested.
These options were granted pursuant to the Issuer's 2014 Stock Incentive Plan and are subject to monthly vesting over four years (1/48 per month) such that they will be vested in full on the four-year anniversary of their respective grant dates.
/s/ Daniel E. Conger
2016-02-22