Statement of Changes in Beneficial Ownership (4)
March 03 2021 - 2:19PM
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).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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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
*
Timlick Larry |
2. Issuer Name and Ticker or Trading Symbol
COUNTERPATH CORP
[
CPAH
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
4750 THE GLEN |
3. Date of Earliest Transaction
(MM/DD/YYYY)
3/1/2021 |
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(Street)
WEST VANCOUVER, A1 V7S 3C3
(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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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 |
| Deferred Share Units | (1) | | | | | | | 12/14/2009 | (1) | Common Shares | 3225.8 | | 3225.8 | D | |
| Deferred Share Units | (1) | | | | | | | 6/18/2010 | (1) | Common Shares | 2000.0 | | 5225.8 | D | |
| Deferred Share Units | (1) | | | | | | | 7/25/2011 | (1) | Common Shares | 1081.1 | | 6306.9 | D | |
| Deferred Share Units | (1) | | | | | | | 7/19/2012 | (1) | Common Shares | 1026.5 | | 7333.4 | D | |
| Deferred Share Units | (1) | | | | | | | 7/25/2013 | (1) | Common Shares | 1885.4 | | 9218.8 | D | |
| Deferred Share Units | (1) | | | | | | | 7/11/2014 | (1) | Common Shares | 2822.6 | | 12041.4 | D | |
| Deferred Share Units | (1) | | | | | | | 7/17/2015 | (1) | Common Shares | 6072.7 | | 18114.1 | D | |
| Deferred Share Units | (1) | | | | | | | 7/14/2016 | (1) | Common | 12922.0 | | 31036.1 | D | |
| Deferred Share Units | (1) | | | | | | | 7/14/2017 | (1) | Common | 14268 | | 45304.1 | D | |
| Deferred Share Units | (1) | | | | | | | 7/26/2018 | (1) | Common | 12176.0 | | 57480.10 | D | |
| Deferred Share Units | (1) | | | | | | | 11/4/2019 | (1) | Common | 16679 | | 74159.10 | D | |
| Deferred Share Units | (1) | | | | | | | 9/11/2020 | (1) | Common | 4633 | | 78792.1 | D | |
| Deferred Share Units | (1) | 3/1/2021 | | J (2) | | | 78792.1 | (1) | (1) | Common | 78792.1 | (1) | 0 | D | |
| Explanation of Responses: |
| (1) | Each deferred share unit is convertible into one common share of CounterPath Corporation at no additional cost. There is no expiry date. |
| (2) | In connection with a merger with a subsidiary of Alianza, Inc., the deferred share units were cancelled in exchange for $3.49 per deferred share unit. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Timlick Larry
4750 THE GLEN
WEST VANCOUVER, A1 V7S 3C3 | X |
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Signatures
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| /s/ Larry Timlick | | 3/3/2021 |
| **Signature of Reporting Person | Date |
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