Sec Form 4 Filing - SULLIVAN JAMES @ MoSys, Inc. - 2016-08-23

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
SULLIVAN JAMES
2. Issuer Name and Ticker or Trading Symbol
MoSys, Inc. [ MOSY]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Financial Officer
(Last) (First) (Middle)
3301 OLCOTT STREET
3. Date of Earliest Transaction (MM/DD/YY)
08/23/2016
(Street)
SANTA CLARA, CA95054
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
Option to purchase common stock $ 3.73 08/23/2016 D 190,000 ( 1 ) 01/18/2018 Common Stock 190,000 ( 2 ) 0 D
Option to purchase common stock $ 3.54 08/23/2016 D 50,000 ( 3 ) 11/01/2017 Common Stock 50,000 ( 2 ) 0 D
Option to purchase common stock $ 4.46 08/23/2016 D 36,250 ( 4 ) 06/06/2023 Common stock 36,250 ( 2 ) 0 D
Option to purchase common stock $ 0.72 08/23/2016 D 157,856 ( 5 ) 08/23/2026 Common Stock 157,856 ( 2 ) 157,856 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
SULLIVAN JAMES
3301 OLCOTT STREET
SANTA CLARA, CA95054
Chief Financial Officer
Signatures
/s/ C. Leitner by power of attorney 08/25/2016
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The canceled option provided for vesting as follows: 25% of the shares subject to the option on January 17, 2009 and as to 2.0833% of the shares subject to the option on the 17th day of each calendar month thereafter
( 2 )On August 23, 2016, the Issuer canceled, pursuant to an option exchange program, options granted to the Reporting Person on 1/18/08, 11/1/11, and 6/6/13. In exchange for these options to cumulatively purchase 276,250 shares, the Reporting Person received a new option to purchase 157,856 shares at a lower exercise price.
( 3 )The canceled option provided for vesting as follows: ratably over 48 months
( 4 )The canceled option provided for vesting as follows: 6,250, 10,000, 10,000, 7,500, 2,500 shares in fiscal years 2013, 2014, 2015, 2016 and 2017, respectively
( 5 )Option granted to replace cancelled options, pursuant to an option exchange program; vests ratably over 36 months.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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