0001571049-17-000596.txt : 20170123
0001571049-17-000596.hdr.sgml : 20170123
20170123194653
ACCESSION NUMBER: 0001571049-17-000596
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170120
FILED AS OF DATE: 20170123
DATE AS OF CHANGE: 20170123
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 Herbert J
CENTRAL INDEX KEY: 0001594356
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36305
FILM NUMBER: 17542305
MAIL ADDRESS:
STREET 1: C/O SEMLER SCIENTIFIC, INC.
STREET 2: 2330 NW EVERETT ST.
CITY: PORTLAND
STATE: OR
ZIP: 97210
4
1
t1700210x4-hsemler.xml
OWNERSHIP DOCUMENT
X0306
4
2017-01-20
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
Stock Option (right to buy)
1.72
2017-01-20
4
A
0
5000
0
A
2027-01-20
Common Stock
5000
5000
D
This option was granted under the issuer's 2014 Stock Incentive Plan. The option will vest in full on the one year anniversary of the grant date.
/s/ Daniel E. Conger, attorney-in-fact
2017-01-23