0000749660-20-000008.txt : 20200225 0000749660-20-000008.hdr.sgml : 20200225 20200225163847 ACCESSION NUMBER: 0000749660-20-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200221 FILED AS OF DATE: 20200225 DATE AS OF CHANGE: 20200225 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Klein Michael S CENTRAL INDEX KEY: 0001508911 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09341 FILM NUMBER: 20651310 MAIL ADDRESS: STREET 1: C/O ICAD INC STREET 2: 98 SPIT BROOK ROAD SUITE 100 CITY: NASHUA STATE: NH ZIP: 03062 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ICAD INC CENTRAL INDEX KEY: 0000749660 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 020377419 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 98 SPIT BROOK ROAD, SUITE 100 CITY: NASHUA STATE: NH ZIP: 03062 BUSINESS PHONE: 603-882-5200 MAIL ADDRESS: STREET 1: 98 SPIT BROOK ROAD, SUITE 100 CITY: NASHUA STATE: NH ZIP: 03062 FORMER COMPANY: FORMER CONFORMED NAME: HOWTEK INC DATE OF NAME CHANGE: 19920703 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2020-02-21 0 0000749660 ICAD INC icad 0001508911 Klein Michael S C/O ICAD INC 98 SPIT BROOK ROAD SUITE 100 NASHUA NH 03062 1 1 0 0 Chief Executive Officer Common Stock 2020-02-21 4 C 0 25000 4 A 25000 I By Klein 1999 Family Trust Common Stock 2020-02-21 4 C 0 828 12.08 A 25828 I By Klein 1999 Family Trust Convertible Debenture 4 2020-02-21 4 C 0 100000 0 D 2018-12-21 2021-12-21 Common Stock 25000 0 I By Klein 1999 Family Trust Convertible Debenture 12.08 2020-02-21 4 C 0 10000 0 D 2020-02-21 2021-12-21 Common Stock 828 0 I By Klein 1999 Family Trust Represents the shares of common stock issuable upon forced conversion of the outstanding principal amount of the convertible debenture by dividing the outstanding principal amount of the convertible debenture by the conversion rate of $4.00 per share. Represents the shares of common stock issuable as pre-make whole conversion shares by dividing the make whole amount under the convertible debenture by the make whole conversion rate as of February 20, 2020 of $12.08 per share. /s/Annette Heroux, Attorney-in-Fact 2020-02-25