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 | ||||
Employee Stock Option (right to buy) | (2) | 04/18/2019 | Common Stock | 15,000 | $ 1.37 | D | |
Employee Stock Option (right to buy) | (3) | 05/25/2020 | Common Stock | 26,667 | $ 1.01 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Fugal Jay Grant 321 SOUTH 1250 WEST SUITE 1 LINDON, UT 84042 |
VP of Operations |
Todd Fugal as attorney-in-fact for Jay G. Fugal | 03/15/2018 | |
**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) | Consists of 750 shares of common stock and shares issuable under a restricted stock award (RSA) and restricted stock units ("RSUs"). The RSA includes 2,000 shares of restricted stock granted to the reporting person. 1,000 shares will vest on May 1, 2018, and the remaining shares will vest on May 1, 2019. Upon vesting, the reporting person will receive a number of shares of common stock equal to the number of restricted stock shares that have vested. The RSU's consist of one award of 10,000 RSUs that vest in 20% annual increments on each of the first five anniversaries of March 6, 2018. Each RSU represents the right to receive one share of common stock upon vesting. |
(2) | The option became exercisable in 20% annual increments on each of the first five anniversaries of April 18, 2013. |
(3) | The option became exercisable in 33.33% annual increments on each of the first three anniversaries of May 25, 2016. |
Remarks: Exhibit List Exhibit 24- Power of Attorney |