Statement of Changes in Beneficial Ownership (4)
November 09 2022 - 3:56PM
Edgar (US Regulatory)
FORM 4
[X]
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
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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0.5
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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
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Chan Sidney |
2. Issuer Name and Ticker or Trading Symbol
ALR TECHNOLOGIES INC.
[
ALRT
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director __X__ 10% Owner __X__ Officer (give title below) _____ Other (specify below) CEO |
(Last)
(First)
(Middle)
53 CAIRNHILL ROAD #33-01 CAIRNHILL PLAZA |
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/7/2022 |
(Street)
SINGAPORE, U0 229664
(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
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 11/7/2022 | | D | | 189845000 | D | (1) | 0 | D | |
Common Stock | 11/7/2022 | | D | | 193653482 | D | (1) | 0 | I | Spouse |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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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 Option (right to buy) | $0.05 | 11/7/2022 | | D | | | 115500000 | 7/7/2022 | 12/31/2026 | Common Stock | 115500000 | (1) | 0 | D | |
Stock Option (right to buy) | $0.015 | 11/7/2022 | | D | | | 120000000 | 12/18/2019 | 12/11/2024 | Common Stock | 120000000 | (1) | 0 | D | |
Stock Option (right to buy) | $0.002 | 11/7/2022 | | D | | | 4225001000 | 7/1/2016 | 4/12/2024 | Common Stock | 4225001000 | (1) | 0 | D | |
Stock Option (right to buy) | $0.05 | 11/7/2022 | | D | | | 40000000 | 12/10/2021 | 12/31/2026 | Common Stock | 40000000 | (1) | 0 | I | Spouse |
Stock Option (right to buy) | $0.002 | 11/7/2022 | | D | | | 700000500 | 7/1/2016 | 4/12/2024 | Common Stock | 700000500 | (1) | 0 | I | Spouse |
Explanation of Responses: |
(1) | On November 7, 2022, ALR Technologies Inc. (the "Company") completed a merger among, ALR Technologies SG Ltd. ("ALR Singapore"), and its wholly-owned subsidiary, ALRT Delaware, Inc., ("ALR Delaware"), pursuant to which the Company will continue as a wholly-owned subsidiary of ALR Singapore. The merger resulted in ALR Singapore becoming a parent company and successor to the Company, but did not alter the proportionate interests of security holders. Each outstanding share of the Company's common stock, (the "Common Stock"), beneficially owned by the reporting person was converted into the right to receive one ordinary share of ALR Singapore ("ALR Singapore Ordinary Shares"), and each option or warrant to purchase shares of Common Stock beneficially owned by the reporting person was converted into an option or warrant to subscribe for an equivalent number of ALR Singapore Ordinary Shares at an equivalent exercise price. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Chan Sidney 53 CAIRNHILL ROAD #33-01 CAIRNHILL PLAZA SINGAPORE, U0 229664 | X | X | CEO |
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Signatures
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/s/ Sidney Chan | | 11/9/2022 |
**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. |
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