0001683168-22-001423.txt : 20220303 0001683168-22-001423.hdr.sgml : 20220303 20220303163940 ACCESSION NUMBER: 0001683168-22-001423 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220301 FILED AS OF DATE: 20220303 DATE AS OF CHANGE: 20220303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Forkey Joseph Norman CENTRAL INDEX KEY: 0001360197 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10647 FILM NUMBER: 22709586 MAIL ADDRESS: STREET 1: C/O PRECISION OPTICS CORPORATION INC STREET 2: 22 EAST BROADWAY CITY: GARDNER STATE: MA ZIP: 01440 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PRECISION OPTICS CORPORATION, INC. CENTRAL INDEX KEY: 0000867840 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 042795294 STATE OF INCORPORATION: MA FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 22 EAST BROADWAY CITY: GARDNER STATE: MA ZIP: 01440 BUSINESS PHONE: 978-630-1800 MAIL ADDRESS: STREET 1: 22 EAST BROADWAY CITY: GARDNER STATE: MA ZIP: 01440 FORMER COMPANY: FORMER CONFORMED NAME: PRECISION OPTICS Corp INC DATE OF NAME CHANGE: 20111027 FORMER COMPANY: FORMER CONFORMED NAME: PRECISION OPTICS CORPORATION INC DATE OF NAME CHANGE: 19930328 FORMER COMPANY: FORMER CONFORMED NAME: PRECISION OPTICS CORP INC DATE OF NAME CHANGE: 19600201 4 1 ownership.xml X0306 4 2022-03-01 0 0000867840 PRECISION OPTICS CORPORATION, INC. PEYE 0001360197 Forkey Joseph Norman PRECISION OPTICS CORPORATION, INC. 22 EAST BROADWAY GARDNER MA 01440 1 1 0 0 Chief Executive Officer Common Stock 2022-03-02 4 M 0 30000 1.20 A 363620 D Common Stock 2022-03-02 4 F 0 16000 2.25 D 347620 D Stock Option (Right to Buy) 1.20 2022-03-01 4 G 0 120000 D 2014-07-01 2022-03-02 Common Stock 120000 530000 D Stock Option (Right to Buy) 1.20 2022-03-02 4 M 0 30000 D 2014-07-01 2022-03-02 Common Stock 30000 500000 D Reflects 16,000 shares withheld by Issuer at the market price of $2.25 per share to fund the cashless exercise of 30,000 options at an exercise price of $1.20 per share. The options were granted by the Issuer to compensate executive officers for their services. The reporting person exercised and gifted the options because they were about to expire. The transactions reported above in Table I reflect the cashless exercise transactions of 30,000 stock options. The cashless exercise for the options is reported in two lines. The first line of the cashless exercise transaction is coded M in column 4 of Table I and reports in column 5 the number of shares issuable upon exercise of the options had cash been paid to exercise the options, together with the exercise price with Code A for acquired. The line coded F in column 3 of Table I relates to the same cashless exercise on the preceding line and reports in Column 5 the number of shares deducted from the total number of shares issuable to pay for the cashless exercise of such options with Code D for disposed. The transactions reported in Table II above, reflect the disposition of the same stock options whose cashless exercise is disclosed in Table I above. In addition, the reporting person gifted certain stock options to a charity in a transaction coded with Code G. /s/ Joseph Forkey 2022-03-03