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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Director Stock Option (right to buy) | $ 1.4 | 12/30/2010 | A | 25,000 | 12/30/2010 | 12/30/2015 | Common Stock | 25,000 | $ 0 | 25,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Klein Michael S C/O ICAD INC 98 SPIT BROOK ROAD SUITE 100 NASHUA, NH 03062 |
X |
/s/Annette Heroux, Attorney-in-Fact | 01/04/2011 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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). |
(1) | The reporting person acquired the shares of the issuer's common stock pursuant to the terms of the agreement and plan of merger pursuant to which on December 30, 2010 Xoft, Inc. was merged into a wholly-owned subsidiary of the issuer. The agreement and plan of merger, which was entered into on December 15, 2010, placed a value on the issuer's common stock of $1.4010 a share, based on the average of the closing sale price of the issuer's common stock over the thirty trading days immediately preceding the closing date. A portion of the shares issued to the reporting person in the merger are subject to an escrow agreement which provides for the placement in escrow of certain of the shares issued in the merger. The escrowed shares are subject to forfeiture during the 15 month period following the merger to secure potential post-closing indemnification obligations of the Xoft stockholder. |