FORM 4
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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 |
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1. Name and Address of Reporting Person * CAROTHERS TODD | 2. Issuer Name and Ticker or Trading Symbol COUNTERPATH CORP [ CPAH ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) EVP Sales & Marketing |
3. Date of Earliest Transaction
(MM/DD/YYYY)
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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 | ||||||
Common Shares | 14,061.4874 | D | ||||||||
Common Shares | 12/4/2019 | A | 178.4864 (1) | A | $1.0505 | 14,239.9738 | D | |||
Common Shares | 12/4/2019 | A | 87.4382 (1) | A | $1.0723 | 14,327.412 | D |
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 | ||||||||
Stock Options | $19 | 7/25/2013 | 7/25/2018 | Common | 5,000 | 5,000 | D | ||||||||
Stock Options | $11.5 | 7/11/2014 | 7/11/2019 | Common | 10,000 | 15,000 | D | ||||||||
Stock Options | $5 | 7/17/2015 | 7/17/2020 | Common | 7,500 | 22,500 | D | ||||||||
Stock Options | $2.89 | 12/14/2017 | 12/14/2022 | Common | 50,000 | 72,500 | D | ||||||||
Deferred Share Units | (2) | 9/3/2011 | (2) | Common | 2,202.6 | 2,202.6 | D | ||||||||
Deferred Share Units | (2) | 7/25/2011 | (2) | Common | 1,621.6 | 3,824.29 | D | ||||||||
Deferred Share Units | (3) | 12/14/2018 | (3) | Common | 40,000 | 43,824.29 | D | ||||||||
Deferred Share Units | (3) | 11/4/2019 | (3) | Common | 25,000 | 68,824.29 | D |
Reporting Owners | |||||
Reporting Owner Name / Address | |||||
Director | 10% Owner | Officer | Other | ||
CAROTHERS TODD 2323 HARTZELL STREET EVANSTON, IL 60201 | EVP Sales & Marketing |
Signatures | ||
/s/ Todd Carothers | 12/6/2019 | |
**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 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). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
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. |