Statement of Changes in Beneficial Ownership (4)
October 08 2020 - 06:48PM
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
APPROVAL
OMB Number: 3235-0287
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 * 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)
10/8/2020
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(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 |
$0.15 |
10/8/2020 |
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A |
|
74051 |
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10/8/2020 |
9/30/2030 |
Common stock |
74051 |
$0 (1) |
1658661 (2) |
D |
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Explanation of
Responses: |
(1) |
This Option was granted to
Reporting Person to replace an option to purchase 296,203 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 the Issuer's current 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 August 10,
2020, of an option to purchase an 296,203 shares of common
stock. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
PROVENZANO JOSEPH L
14921 CHESTNUT ST.
WESTMINSTER, CA 92683 |
X |
|
Secretary |
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Signatures
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/s/ John R. Browning,
Attorney-in-fact |
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10/8/2020 |
**Signature of
Reporting Person |
Date |