0001571049-16-016057.txt : 20160615
0001571049-16-016057.hdr.sgml : 20160615
20160615182513
ACCESSION NUMBER: 0001571049-16-016057
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160613
FILED AS OF DATE: 20160615
DATE AS OF CHANGE: 20160615
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: Semler Shirley L.
CENTRAL INDEX KEY: 0001594358
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36305
FILM NUMBER: 161716224
MAIL ADDRESS:
STREET 1: C/O SEMLER SCIENTIFIC, INC.
STREET 2: 2330 NW EVERETT ST.
CITY: PORTLAND
STATE: OR
ZIP: 97210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Semler Herbert J
CENTRAL INDEX KEY: 0001594356
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36305
FILM NUMBER: 161716225
MAIL ADDRESS:
STREET 1: C/O SEMLER SCIENTIFIC, INC.
STREET 2: 2330 NW EVERETT ST.
CITY: PORTLAND
STATE: OR
ZIP: 97210
4
1
t1601578_semler.xml
OWNERSHIP DOCUMENT
X0306
4
2016-06-13
0
0001554859
Semler Scientific, Inc.
SMLR
0001594356
Semler Herbert J
C/O SEMLER SCIENTIFIC, INC.
2330 NW EVERETT ST.
PORTLAND
OR
97210
1
0
1
0
0001594358
Semler Shirley L.
C/O SEMLER SCIENTIFIC, INC.
2330 NW EVERETT ST.
PORTLAND
OR
97210
1
0
1
0
Common Stock
2016-06-13
4
S
0
50000
1.50
D
428064
I
See footnote
Common Stock
2016-06-14
4
S
0
50000
1.50
D
378064
I
See footnote
These securities are held in family trusts and may be deemed to be beneficially owned by the reporting persons as beneficiaries and Co-Trustees of such trusts. Shirley L. Semler is also a director of the Company.
/s/ Daniel E. Conger, attorney-in-fact
2016-06-15
/s/ Daniel E. Conger, attorney-in-fact
2016-06-15