Sec Form 5 Filing - Tangredi Timothy @ DAIS ANALYTIC CORP - 2017-12-31-07:00

Insider filing report for Changes in Beneficial Ownership
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FORM 5
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
Tangredi Timothy
2. Issuer Name and Ticker or Trading Symbol
DAIS ANALYTIC CORP [ DLYT]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
President & CEO
(Last) (First) (Middle)
11552 PROSPEROUS DRIVE
3. Date of Earliest Transaction (MM/DD/YY)
12/31-07:00/2017
(Street)
ODESSA, FL33556
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 Stock ( 1 ) 10/19-06:00/2016 J 200,000 A $ 0 546,601 I Owned by spouse
Common Stock ( 1 ) 01/30-07:00/2017 J 20,000 A $ 0 566,601 I Owned by Spouse
Common Stock ( 1 ) 02/21-07:00/2017 J 440,000 A $ 0 1,006,601 I Owned by Spouse
Common Stock ( 1 ) 03/14-06:00/2017 J 200,000 A $ 0 1,206,601 I Owned 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
Warrant ( 2 ) $ 0.01 02/14-07:00/2017 J 1,000,000 02/14-07:00/2017 02/14-07:00/2027 Common Stock 1,000,000 $ 0 3,047,500 I Owned by Spouse
Warrant ( 2 ) $ 0.01 02/21-07:00/2017 J 3,000,000 02/21-07:00/2017 02/21-07:00/2027 Common Stock 3,000,000 $ 0 6,047,500 I Owned by Spouse
Warrant ( 2 ) $ 0.01 05/01-06:00/2017 J 250,000 05/01-06:00/2017 05/01-06:00/2027 Common Stock 250,000 $ 0 6,297,500 I Owned by Spouse
Warrant ( 2 ) $ 0.01 07/27-06:00/2017 J 2,000,000 07/27-06:00/2017 07/27-06:00/2027 Common Stock 2,000,000 $ 0 8,297,500 I Owned by Spouse
Warrant ( 2 ) $ 0.01 08/28-06:00/2017 J 5,000,000 08/28-06:00/2017 08/28-06:00/2027 Common Stock 5,000,000 $ 0 13,297,500 I Owned by Spouse
Warrant ( 2 ) $ 0.01 10/18-06:00/2017 J 5,000,000 10/18-06:00/2017 10/18-06:00/2027 Common Stock 5,000,000 $ 0 18,297,500 I Owned by Spouse
Warrant ( 2 ) $ 0.01 12/31-07:00/2017 J 10,000,000 12/31-07:00/2017 12/31-07:00/2027 Common Stock 10,000,000 $ 0 28,297,500 I Owned by Spouse
Common Stock Purchase Option $ 0.036 11/23-07:00/2017 A 600,000 11/23-07:00/2017 11/23-07:00/2027 Common Stock 600,000 $ 0 9,135,058 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Tangredi Timothy
11552 PROSPEROUS DRIVE
ODESSA, FL33556
X X President & CEO
Signatures
/s/ Timothy N. Tangredi 03/30-06:00/2018
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Common Stock issued pursuant to terms of June 24, 2016 Secured Promissory Note and Security Agreement, as amended.
( 2 )Common Stock Warrant issued pursuant to terms of June 24, 2016 Secured Promissory Note and Security Agreement of same date, as amended.

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