SEC Form 3
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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1. Name and Address of Reporting Person*
Giuffre Randall Michael

(Last) (First) (Middle)
2 CARLSON PARKWAY
SUITE 260

(Street)
MINNEAPOLIS MN 55447

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/06/2018
3. Issuer Name and Ticker or Trading Symbol
DiaMedica Therapeutics Inc. [ DMAC ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
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)
Voting Common Shares, no par value per share 74,554(1) D
Voting Common Shares, no par value per share 5,165 I See footnote(2)
Voting Common Shares, no par value per share 21,070 I By Spouse
Voting Common Shares, no par value per share 54,186 I By Children
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: 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
Stock Option (right to buy) (3) 10/06/2021 Voting Common Shares 1,250 $17.31(4) D
Stock Option (right to buy) (5) 05/09/2022 Voting Common Shares 1,250 $25.58(4) D
Stock Option (right to buy) (6) 10/31/2022 Voting Common Shares 1,250 $24.98(4) D
Stock Option (right to buy) (7) 06/25/2023 Voting Common Shares 1,250 $16.1(4) D
Stock Option (right to buy) (8) 11/06/2023 Voting Common Shares 1,250 $12.94(4) D
Stock Option (right to buy) (9) 12/01/2025 Voting Common Shares 12,000 $2.26(4) D
Stock Option (right to buy) (10) 11/28/2026 Voting Common Shares 5,000 $3.91(4) D
Stock Option (right to buy) (11) 06/19/2027 Voting Common Shares 5,000 $4.82(4) D
Stock Option (right to buy) (12) 04/17/2028 Voting Common Shares 3,000 $8.43(4) D
Warrant (13) 03/28/2020 Voting Common Shares 11,225 $7 D
Explanation of Responses:
1. Includes 4,146 voting common shares issuable upon settlement of deferred share units granted under the DiaMedica Therapeutics Inc. Deferred Share Unit Plan, 36,498 voting common shares held by Michael Giuffre and his wife jointly and 33,910 voting common shares held by Michael Giuffre individually.
2. These voting common shares held by 424822 Albert Ltd, of which Michael Giuffre has sole voting and dispositive power.
3. This stock option vests in 12 equal quarterly installments over three years starting on January 6, 2012.
4. Represents the conversion of the exercise price from CAD$ to US$ on November 30, 2018.
5. This stock option vests in 12 equal quarterly installments over three years starting on August 9, 2012.
6. This stock option vests in 12 equal quarterly installments over three years starting on January 31, 2013
7. This stock option vests in 12 equal quarterly installments over three years starting on September 25, 2013.
8. This stock option vests in 12 equal quarterly installments over three years starting on February 6, 2014.
9. This stock option vests in 12 equal quarterly installments over three years starting on March 1, 2016.
10. This stock option vests in 12 equal quarterly installments over three years starting on February 28, 2017.
11. This stock option vests in 12 equal quarterly installments over three years starting on September 19, 2017.
12. This stock option vests in 12 equal quarterly installments over three years starting on July 17, 2018.
13. This warrant is fully vested.
/s/ Amy Culbert, attorney-in-fact 12/06/2018
** Signature of Reporting Person Date
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 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).
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