5//SEC Filing
Brooks Mark W 5
Accession 0000899243-22-007411
CIK 0000319016other
Filed
Feb 22, 7:00 PM ET
Accepted
Feb 23, 5:27 PM ET
Size
8.0 KB
Accession
0000899243-22-007411
Insider Transaction Report
Form 5
Brooks Mark W
DirectorSee Remarks10% Owner
Transactions
- Gift
Common Stock
2021-12-23−107,143→ 54,620,130 total(indirect: Managing member of NC 143) - Award
Common Stock
2021-11-04$0.68/sh+73,530$50,000→ 549,253 total
Footnotes (2)
- [F1]On November 14, 2021 the Reporting Person was granted 73,530 shares (the "Shares") of the restricted common stock, par value $0.01 per share (the "Common Stock"), of Fuse Medical, Inc. (the "Company") pursuant to the Amended and Restated 2008 Equity Incentive Plan of Fuse Medical, Inc. (the "2018 Plan") (incorporated by reference to Exhibit 10.1 of the Issuer's Form 8-K filed with the Securities and Exchange Commission (the "SEC") on December 18, 2018 (File No. 000-100093)), subject to the terms and conditions in the 2018 Plan.
- [F2](Continued From Footnote 1) The Shares will vest and cease to be subject to forfeiture upon (a) the occurrence of one of the following events (each, an "Accelerating Event"): (A) the listing of the Company's Common Stock on either the NYSE or the NASDAQ Stock Market; or (B) a Change in Control (as defined in the 2018 Plan); and (ii) the delivery by the Reporting Person to our Company of a Notice of Acceleration of Vesting (as defined in award agreement) no later than sixty (60) days following the earlier of (A) the date our Company sends written notice of such Accelerating Event or (B) the date the Reporting Person actually or constructively becomes aware that such Accelerating Event has occurred.
Documents
Issuer
Fuse Medical, Inc.
CIK 0000319016
Entity typeother
Related Parties
1- filerCIK 0001688048
Filing Metadata
- Form type
- 5
- Filed
- Feb 22, 7:00 PM ET
- Accepted
- Feb 23, 5:27 PM ET
- Size
- 8.0 KB