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