Lightwave Logic Inc.

12/16/2024 | Press release | Distributed by Public on 12/16/2024 15:57

Initial Statement of Beneficial Ownership (Form 3)

Ownership Submission
FORM 3
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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(Print or Type Responses)
1. Name and Address of Reporting Person *
Zelibor Thomas Edward
2. Date of Event Requiring Statement (Month/Day/Year)
12/10/2024
3. Issuer Name and Ticker or Trading Symbol
Lightwave Logic, Inc. [LWLG]
(Last) (First) (Middle)
369 INVERNESS PARKWAY, SUITE 350
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
President
5. If Amendment, Date Original Filed (Month/Day/Year)
(Street)
ENGLEWOOD, CO 80112
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 Beneficially Owned
1.Title of Security
(Instr. 4)
2. Amount of Securities Beneficially Owned
(Instr. 4)
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
4. Nature of Indirect Beneficial Ownership
(Instr. 5)
Common Stock 206,889(1) D
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. SEC 1473 (7-02)
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 4)
2. Date Exercisable and Expiration Date
(Month/Day/Year)
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
6. Nature of Indirect Beneficial Ownership
(Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) (2) 01/22/2028 Common Stock 50,000 $1.22 D
Employee Stock Option (Right to Buy) (3) 01/13/2030 Common Stock 110,000 $0.8 D
Employee Stock Option (Right to Buy) (4) 01/13/2031 Common Stock 110,000 $1.27 D
Employee Stock Option (Right to Buy) (5) 01/17/2032 Common Stock 50,000 $9.65 D
Employee Stock Option (Right to Buy) (6) 12/10/2034 Common Stock 80,000 $2.65 D

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Zelibor Thomas Edward
369 INVERNESS PARKWAY
SUITE 350
ENGLEWOOD, CO 80112
President

Signatures

/s/ James S. Marcelli, Attorney-in-fact for Thomas E. Zelibor 12/16/2024
**Signature of Reporting Person Date

Explanation of Responses:

* If the form is filed by more than one reporting person, see Instruction 5(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).
(1) Includes a 35,000 share restricted stock award pursuant to the Company's 2016 Equity Incentive Plan. 35,000 shares vest on June 10, 2025, subject to continued service with the Company through the applicable vesting date. Unvested shares of restricted stock are subject to forfeiture.
(2) Represents an option award pursuant to the Company's 2016 Equity Incentive Plan. All 50,000 shares are vested.
(3) Represents an option award pursuant to the Company's 2016 Equity Incentive Plan. All 110,000 shares are vested.
(4) Represents an option award pursuant to the Company's 2016 Equity Incentive Plan. All 110,000 shares are vested.
(5) Represents an option award pursuant to the Company's 2016 Equity Incentive Plan. All 50,000 shares are vested
(6) Represents an option award pursuant to the Company's 2016 Equity Incentive Plan. 80,000 options vest on June 10, 2025, subject to continued service with the Company through the applicable vesting date. Unvested shares are subject to forfeiture.
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.