UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (right to buy) | (1) | 05/03/2027 | Common Stock, par value $0.0001 per share | 511,113 | $ 4.5 | D | |
Stock Option (right to buy) | (2) | 03/26/2024 | Common Stock, par value $0.0001 per share | 67,238 | $ 2.38 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Pomeranz Mark C/O MOTUS GI HOLDINGS, INC. 1301 EAST BROWARD BOULEVARD, 3RD FLOOR FT.LAUDERDALE, FL 33301 |
X | Chief Executive Officer |
/s/ Andrew Taylor, power of attorney | 02/13/2018 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The option became exercisable as to 53% of the shares on May 4, 2017. An additional 40% of the shares becomes exercisable in 12 equal quarterly installments commencing on May 4, 2017. The remaining 7% of the shares becomes exercisable on December 22, 2019. |
(2) | The option became exercisable as to 48% of the shares on December 31, 2016, and the remaining 52% of the shares becomes exercisable on November 8, 2018. |
Remarks: Exhibit List Exhibit 24 - Power of Attorney |