Statement of Changes in Beneficial Ownership (4)
May 05 2020 - 04:41PM
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).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
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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 * PROVENZANO JOSEPH
L |
2. Issuer Name and Ticker or Trading
Symbol BIOLARGO, INC. [ BLGO ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
Secretary |
(Last)
(First)
(Middle)
14921 CHESTNUT ST. |
3. Date of Earliest Transaction (MM/DD/YYYY)
5/1/2020
|
(Street)
WESTMINSTER, CA 92683
(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 |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying
Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially
Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct
(D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Option to purchase common
stock |
$0.14 |
5/1/2020 |
|
A |
|
50000 |
|
5/1/2020 |
5/1/2030 |
Common stock |
50000 |
$0 (1) |
1678703 (2) |
D |
|
Option to purchase common
stock |
$0.14 |
5/1/2020 |
|
A |
|
202110 |
|
8/1/2020 (4) |
5/1/2030 |
Common stock |
202110 |
$0 (3) |
1880813 |
D |
|
Explanation of
Responses: |
(1) |
This Option was granted to
Reporting Person to replace an option to purchase 200,000 shares
that had been issued approximately 10 years ago to compensate
Reporting Person for services to the Issuer and had recently
expired unexercised due to a discrepancy between the original
exercise price and current Issuer stock price, pursuant to plan
adopted by the Issuer's Compensation Committee. |
(2) |
This amount reflects, in
addition to the reported option grant, the expiration on February
1, 2020, of an option to purchase 200,000 shares of common
stock. |
(3) |
On May 1, 2020, in
recognition of recent accomplishments in response to the COVID-19
pandemic, the Issuer's Compensation Committee granted options to
the Issuer's employees under the 2018 Equity Incentive Plan,
including the option reported herein. |
(4) |
This option vests in four
equal installments every three months beginning August 1,
2020. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
PROVENZANO JOSEPH L
14921 CHESTNUT ST.
WESTMINSTER, CA 92683 |
X |
|
Secretary |
|
Signatures
|
/s/ John R. Browning,
Attorney-in-fact |
|
5/5/2020 |
**Signature of
Reporting Person |
Date |