Sec Form 4 Filing - PEIZER TERREN S @ CATASYS, INC. - 2016-12-21

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
PEIZER TERREN S
2. Issuer Name and Ticker or Trading Symbol
CATASYS, INC. [ CATS]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chairman & CEO
(Last) (First) (Middle)
11601 WILSHIRE BLVD #1100
3. Date of Earliest Transaction (MM/DD/YY)
12/21/2016
(Street)
LOS ANGELES, CA90025
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
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 to purchase ( 1 ) $ 1.1 12/15/2016 J( 1 ) 1,022,835 12/15/2016 12/15/2021 Common Stock 1,022,835 ( 1 ) 1,022,835 I By Acuitas Group Holdings, LLC ( 2 )
Convertible Debenture ( 3 ) $ 1.1 12/15/2016 J( 3 ) 2,557,088 12/15/2016 03/15/2017 Common Stock 2,557,088 ( 3 ) 2,557,088 I By Acuitas Group Holdings, LLC ( 2 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
PEIZER TERREN S
11601 WILSHIRE BLVD #1100
LOS ANGELES, CA90025
X X Chairman & CEO
Signatures
/s/ Terren S. Peizer 12/23/2016
Signature of Reporting Person Date
Explanation of Responses:
( 1 )On December 15, 2016, Catasys, Inc. ("Catasys") issued to Acuitas Group Holdings, LLC ("Acuitas") a warrant exercisable for 1,022,835 shares of Catasys common stock at an exercise price of $1.10 per share (the "Warrant"), subject to potential future adjustment pursuant to the terms of the Warrant. The Warrant was issued to Acuitas concurrently and in connection with a debt financing, pursuant to which Catasys issued to Acuitas an 8% senior convertible debenture dated as of December 15, 2016 (the "Convertible Debenture")
( 2 )The reporting person is the Managing Director and 100% owner of Acuitas Group Holdings, LLC, and may be deemed to beneficially own or control the securities. The reporting person disclaims beneficial ownership of any such securities.
( 3 )On December 15, 2016, Catasys issued the Convertible Debenture to Acuitas. At the option of the holder, the Convertible Debenture is convertible into 2,557,088 shares of common stock at an exercise price of $1.10 per share, subject to potential future adjustment pursuant to the terms of the Convertible Debenture.

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).

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