0001571049-17-004462.txt : 20170504
0001571049-17-004462.hdr.sgml : 20170504
20170504161820
ACCESSION NUMBER: 0001571049-17-004462
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170502
FILED AS OF DATE: 20170504
DATE AS OF CHANGE: 20170504
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: Chang William H
CENTRAL INDEX KEY: 0001594408
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36305
FILM NUMBER: 17814189
MAIL ADDRESS:
STREET 1: C/O SEMLER SCIENTIFIC, INC.
STREET 2: 2330 NW EVERETT ST.
CITY: PORTLAND
STATE: OR
ZIP: 97210
4
1
t1701344_x1-chang.xml
OWNERSHIP DOCUMENT
X0306
4
2017-05-02
0
0001554859
Semler Scientific, Inc.
SMLR
0001594408
Chang William H
C/O SEMLER SCIENTIFIC, INC.
2330 NW EVERETT ST.
PORTLAND
OR
97210
0
0
1
0
Common Stock Warrant (right to buy)
2.60
2017-05-02
4
P
0
134616
0.00
A
2017-05-02
2022-01-21
Common Stock
134616
134616
I
By Chang Family Trust
/s/ Daniel E. Conger, attorney-in-fact
2017-05-04