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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 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. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MILINAZZO ALAN C/O INSPIREMD, INC. 321 COLUMBUS AVENUE BOSTON, MA 02116 |
X | President and CEO |
/s/ Alan Milinazzo | 01/26/2016 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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) | These shares were omitted from the Reporting Person's original Form 4 filed on January 5, 2016. Represents shares of restricted stock withheld to pay the Reporting Person's tax withholding obligations incurred in connection with the vesting of 5,996 shares of restricted stock award granted on April 25, 2013. |
(2) | Reflects a 1-for-10 reverse stock split effected October 1, 2015. |
(3) | Represents an adjustment to the number of shares of restricted stock granted on January 26, 2015 in lieu of 50% of his base salary in cash payments based upon the volume-weighted average price of the Issuer's common stock during the calendar year ended December 31, 2015, pursuant to the Third Amendment to Employment Agreement, dated as of June 29, 2015. |
(4) | These shares were previously reported as 1,487,261 shares but were adjusted to reflect the withholding of shares of restricted stock to pay the Reporting Person's tax withholding obligations omitted from the Reporting Person's original Form 4 filed on January 5, 2016 and the 1-for-10 reverse stock split that was effected on October 1, 2015. |
(5) | These shares were previously reported as 1,463,167 shares but were adjusted to reflect the withholding of shares of restricted stock to pay the Reporting Person's tax withholding obligations omitted from the Reporting Person's original Form 4 filed on January 5, 2016 and the 1-for-10 reverse stock split that was effected on October 1, 2015. |
(6) | These shares were previously reported as 1,458,185 shares but were adjusted to reflect the withholding of shares of restricted stock to pay the Reporting Person's tax withholding obligations omitted from the Reporting Person's original Form 4 filed on January 5, 2016 and the 1-for-10 reverse stock split that was effected on October 1, 2015. |