4//SEC Filing
US MEDSYS CORP 4
Accession 0001140361-05-004405
CIK 0001095963operating
Filed
Jun 8, 8:00 PM ET
Accepted
Jun 9, 5:11 PM ET
Size
9.9 KB
Accession
0001140361-05-004405
Insider Transaction Report
Form 4
US MEDSYS CORPUMSY
Sieckman Kenton D
Other
Transactions
- Exercise/Conversion
Option
2005-05-06−250,000→ 0 totalExercise: $0.18From: 2003-11-03Exp: 2006-11-03→ Common Stock (250,000 underlying) - Exercise/Conversion
Common Stock
2005-05-06$0.18/sh+250,000$45,000→ 175,000 total - Tax Payment
Common Stock
2005-05-06$0.18/sh−75,000$13,500→ 175,000 total
Footnotes (1)
- [F1]The Reporting Person was granted options on November 3, 2003 to purchase 250,000 shares of common stock at $.25 per share. On May 6, 2005, pursuant to a severance agreement, the Issuer adjusted the exercise price of the 250,000 options to a price per share resulting in the issuance of exactly 175,000 shares of common stock on a cashless exercise basis. As a result, the exercise price was adjusted from $.25 per share to $.18 per share. The Reporting Person simultaneously exercised the 250,000 options on the cashless exercise basis and the Issuer withheld 75,000 shares in payment of the exercise price.
Documents
Issuer
US MEDSYS CORP
CIK 0001095963
Entity typeoperating
IncorporatedCO
Related Parties
1- filerCIK 0001095963
Filing Metadata
- Form type
- 4
- Filed
- Jun 8, 8:00 PM ET
- Accepted
- Jun 9, 5:11 PM ET
- Size
- 9.9 KB