Sec Form 4 Filing - Stafford Peter H @ ALR TECHNOLOGIES INC. - 2022-11-07

Insider filing report for Changes in Beneficial Ownership
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FORM 4
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
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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1. Name and Address of Reporting Person
Stafford Peter H
2. Issuer Name and Ticker or Trading Symbol
ALR TECHNOLOGIES INC. [ ALRT]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
10405 81ST STREET
3. Date of Earliest Transaction (MM/DD/YY)
11/07/2022
(Street)
OSOYOOS, A1V0H 1V2
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction 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 11/07/2022 D 1,375,000 D 0 D
Common Shares 11/07/2022 D 125,000 D 0 I By Spouse
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) $ 0.035 05/06/2019 D 4,000,000 05/06/2019 05/06/2024 Common Stock 4,000,000 ( 1 ) 0 D
Stock Option (right to buy) $ 0.035 05/17/2019 D 1,000,000 05/17/2019 05/17/2024 Common Stock 1,000,000 ( 1 ) 0 D
Stock Option (right to buy) $ 0.05 08/27/2021 D 5,000,000 08/27/2019 06/30/2026 Common Stock 5,000,000 ( 1 ) 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Stafford Peter H
10405 81ST STREET
OSOYOOS, A1V0H 1V2
X
Signatures
/s/ Peter Stafford 11/09/2022
Signature of Reporting Person Date
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.

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