Kubota Kristina 4
4 · PACIFIC HEALTH CARE ORGANIZATION INC · Filed Mar 12, 2019
Insider Transaction Report
Form 4
Kubota Kristina
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.