SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Conger Daniel E

(Last) (First) (Middle)
C/O SEMLER SCIENTIFIC, INC.
2330 NW EVERETT ST.

(Street)
PORTLAND OR 97210

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/18/2016
3. Issuer Name and Ticker or Trading Symbol
Semler Scientific, Inc. [ SMLR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President, Finance
5. If Amendment, Date of Original Filed (Month/Day/Year)
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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) 11/01/2010(1) 11/01/2020 Common Stock 6,500 0.52 D
Stock Option (right to buy) 06/10/2011(1) 06/10/2021 Common Stock 6,500 0.52 D
Stock Option (right to buy) 01/05/2012(1) 01/05/2022 Common Stock 6,500 0.52 D
Stock Option (right to buy) 11/21/2012(1) 11/21/2022 Common Stock 10,000 0.52 D
Stock Option (right to buy) 11/08/2014(2) 11/08/2024 Common Stock 5,000 2.1 D
Stock Option (right to buy) 10/29/2015(2) 10/29/2025 Common Stock 10,000 3.44 D
Stock Option (right to buy) 12/31/2015(2) 12/31/2025 Common Stock 10,000 2.59 D
Explanation of Responses:
1. These options were granted pursuant to the Issuer's 2007 Key Person Stock Option Plan and are fully vested.
2. These options were granted pursuant to the Issuer's 2014 Stock Incentive Plan and are subject to monthly vesting over four years (1/48 per month) such that they will be vested in full on the four-year anniversary of their respective grant dates.
/s/ Daniel E. Conger 02/22/2016
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: 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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