Sec Form 5 Filing - Gazdak Jonathan @ Summit Wireless Technologies, Inc. - 2020-12-31

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
Gazdak Jonathan
2. Issuer Name and Ticker or Trading Symbol
Summit Wireless Technologies, Inc. [ WISA]
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)
C/O SUMMIT WIRELESS TECHNOLOGIES, INC.,, 6840 VIA DEL ORO STE. 280
3. Date of Earliest Transaction (MM/DD/YY)
12/31/2020
(Street)
SAN JOSE, CA95119
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 07/27/2018 P V 250 ( 1 ) A $ 5 ( 1 ) 16,881 ( 1 ) ( 2 ) D
Common Stock 12/09/2020 S V 250 D $ 2.785 16,631 ( 3 ) D
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
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Gazdak Jonathan
C/O SUMMIT WIRELESS TECHNOLOGIES, INC.,
6840 VIA DEL ORO STE. 280
SAN JOSE, CA95119
X
Signatures
/s/ Jonathan Gazdak 02/16/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Share amounts and purchase price have been retroactively adjusted to reflect the twenty-for-one reverse stock split of the issuer's outstanding common stock, par value $0.0001 per share (the "Common Stock"), effected by the issuer on April 9, 2020.
( 2 )The shares reported purchased were mistakenly excluded in the total shown in Column 5 of the interim reports filed by the reporting person.
( 3 )Reflects the number of shares of Common Stock beneficially owned by the reporting person after such sale, after taking into account the purchase by the reporting person of 250 shares of Common Stock on July 27, 2018, which purchase was previously excluded in the total shown in Column 5 of the previous reports on Form 4 filed by the reporting person.

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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