Filing Details

Accession Number:
0001019687-12-003518
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-10-01 16:50:20
Reporting Period:
2012-09-28
Filing Date:
2012-10-01
Accepted Time:
2012-10-01 16:50:20
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
867840 Precision Optics Corp Inc PEYE Electromedical & Electrotherapeutic Apparatus (3845) 042795294
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1360197 Norman Joseph Forkey Precision Optics Corporation, Inc.
22 East Broadway
Gardner MA 01440
Chief Executive Officer Yes Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock, $0.01 Par Value Acquisiton 2012-09-28 22,223 $0.90 33,620 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrants Acquisiton 2012-09-28 15,557 $0.90 15,557 $1.25
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
15,557 2012-09-28 2017-09-28 No 4 P Direct
Footnotes
  1. The 22,223 shares of common stock and warrants to purchase 15,557 shares of common stock were purchased in a private placement at a price of $0.90 per unit. Each unit consisted of one share of common stock and 70% warrant coverage.
  2. Mr. Forkey beneficially owns shares of common stock through joint ownership with his wife, Heather C. Forkey, with whom he shares voting and dispositive control.