Initial Statement of Beneficial Ownership (3)
November 02 2015 - 4:02PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Roller Robert
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2. Date of Event Requiring Statement (MM/DD/YYYY)
11/2/2015
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3. Issuer Name
and
Ticker or Trading Symbol
WPCS INTERNATIONAL INC [WPCS]
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(Last)
(First)
(Middle)
C/O WPCS INTERNATIONAL INCORPORATED, 521 RAILROAD AVENUE
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
___
X
___ Officer (give title below)
_____ Other (specify below)
Pres/Acquisition & Development /
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(Street)
SUISUN CITY, CA 94585
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock Options (right to purchase)
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9/18/2012
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9/18/2017
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Common stock
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162
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$13.20
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D
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Stock Options (right to purchase)
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4/24/2014
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4/24/2019
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Common stock
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2273
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$26.40
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D
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Stock Options (right to purchase)
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8/6/2015
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8/6/2025
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Common stock
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7500
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$1.19
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D
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Stock Options (right to purchase)
(1)
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9/29/2015
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9/29/2025
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Common stock
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275000
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$1.32
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D
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Explanation of Responses:
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(
1)
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The Options were granted under the WPCS International Incorporated 2014 Equity Incentive Plan. 25,000 options vested immediately upon granting, 75,000 options will vest on April 30, 2016 and 175,000 options will vest upon either the issuer achieving certain revenue goals for the fiscal year ending April 30, 2016 or the issuer closing on a merger transaction by September 1, 2016.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Roller Robert
C/O WPCS INTERNATIONAL INCORPORATED
521 RAILROAD AVENUE
SUISUN CITY, CA 94585
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Pres/Acquisition & Development
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Signatures
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/s/ Robert Roller
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11/2/2015
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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