4//SEC Filing
Kubota Lauren 4
Accession 0001185185-19-000332
CIK 0001138476other
Filed
Mar 11, 8:00 PM ET
Accepted
Mar 12, 12:29 PM ET
Size
6.6 KB
Accession
0001185185-19-000332
Insider Transaction Report
Form 4
Kubota Lauren
Director
Transactions
- Other
Employee Stock Options
2018-05-14−4,000→ 0 totalExercise: $3.75From: 2018-08-17Exp: 2022-08-17→ Common (4,000 underlying)
Holdings
- 2,000
Common
Footnotes (2)
- [F1]Adjusted to reflect the four-shares-for-one-share forward split of the Company's common stock that took effect on April 5, 2018.
- [F2]On May 14, 2018, the Reporting Person executed a Stock Cancellation Agreement forfeiting unvested employee stock options she held to purchase 4,000 post-split shares of Common Stock of the Issuer (the "Forfeited Options") without any expectation to receive, and without any obligation on the Issuer to pay or grant, any cash, equity awards or other consideration presently or in the future with respect to the Forfeited Options.
Documents
Issuer
PACIFIC HEALTH CARE ORGANIZATION INC
CIK 0001138476
Entity typeother
Related Parties
1- filerCIK 0001732009
Filing Metadata
- Form type
- 4
- Filed
- Mar 11, 8:00 PM ET
- Accepted
- Mar 12, 12:29 PM ET
- Size
- 6.6 KB