Statement of Changes in Beneficial Ownership (4)
December 16 2016 - 5:26PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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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
*
DHILLON PUNIT
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2. Issuer Name
and
Ticker or Trading Symbol
ONCOSEC MEDICAL Inc
[
ONCS
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
President and CEO
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(Last)
(First)
(Middle)
5820 NANCY RIDGE DRIVE
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3. Date of Earliest Transaction
(MM/DD/YYYY)
12/14/2016
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(Street)
SAN DIEGO, CA 92121
(City)
(State)
(Zip)
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4. 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 Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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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. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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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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Employee Stock Option (right to buy)
(1)
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$4.20
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12/14/2016
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D
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25000
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(2)
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4/25/2022
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Common Stock
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25000
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(3)
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0
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D
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Employee Stock Option (right to buy)
(1)
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$4.60
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12/14/2016
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D
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12500
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(4)
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2/8/2023
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Common Stock
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12500
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(3)
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0
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D
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Non-qualified Stock Option (right to buy)
(5)
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$16.10
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12/14/2016
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D
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100000
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(6)
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3/7/2024
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Common Stock
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100000
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(3)
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0
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D
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Employee Stock Option (right to buy)
(1)
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$7.60
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12/14/2016
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D
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25000
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(7)
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3/3/2025
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Common Stock
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25000
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(3)
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0
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D
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Employee Stock Option (right to buy)
(1)
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$5.76
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12/14/2016
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D
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500000
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(8)
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8/21/2025
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Common Stock
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500000
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(3)
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0
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D
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Employee Stock Option (right to buy)
(1)
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$1.29
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12/14/2016
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A
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314583
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(9)
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12/14/2026
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Common Stock
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314583
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(3)
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314583
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D
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Explanation of Responses:
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(
1)
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These stock options were granted as Incentive Stock Options only to the extent that the $100,000 dollar limitation of 26 U.S.C. ss.422(d) is not exceeded; anything beyond that is deemed a Non-qualified Stock Option.
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(
2)
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The stock options were scheduled to fully vest on April 25, 2015, the third anniversary of the grant date.
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(
3)
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On December 14, 2016, OncoSec Medical Incorporated cancelled, pursuant to its Stock Option Exchange Program, options previously granted to and held by the reporting person to purchase 25000 shares (previously granted on April 25, 2012), 12500 shares (previously granted on February 8, 2013), 100000 shares (previously granted on March 7, 2014), 25000 shares (previously granted on March 3, 2015), and 500000 shares (previously granted on August 21, 2015) of common stock. In exchange, and subject to the terms of the Stock Option Exchange Program, the reporting person received a replacement option for 314583 shares of common stock with an exercise price of $1.29 per share.
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(
4)
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The stock options were scheduled to fully vest on February 8, 2016, the third anniversary of the grant date.
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(
5)
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These stock options were granted as Non-qualified stock options.
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(
6)
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The stock options were scheduled to fully vest on March 7, 2017, the third anniversary of the grant date.
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(
7)
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The stock options were scheduled to fully vest on March 3, 2018, the third anniversary of the grant date.
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(
8)
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The stock options were scheduled to fully vest on August 21, 2018, the third anniversary of the grant date.
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(
9)
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The stock options granted on December 14, 2016 will vest on the following schedule: 25% vested on the grant date; 1/36th of the remaining 75% will vest on each of the 36 subsequent monthly anniversaries of the grant date.
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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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DHILLON PUNIT
5820 NANCY RIDGE DRIVE
SAN DIEGO, CA 92121
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X
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President and CEO
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Signatures
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/s/ Punit Dhillon
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12/16/2016
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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 4(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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