Ben F Allen Form 4 SAJAN / BEN F ALLEN ownership change

SEC Form 4

FORM 4

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
or Section 30(h) of the Investment Company Act of 1940

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X

Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person^*

ALLEN BEN F

(Last) (First) (Middle)

625 WHITETAIL BOULEVARD

(Street)

RIVER FALLS WI 54022

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
SAJAN INC [ SAJA ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
	Officer (give title below)	Other (specify below)

3. Date of Earliest Transaction (Month/Day/Year)
07/19/2017

4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	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	07/19/2017		D		16,562	D	$5.83(1)	0	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 (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	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 (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (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: 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
Stock Option (Right to Buy)	$5.2	07/19/2017		D			1,250	(2)	04/04/2021	Common Stock	1,250	(2)	0	D
Stock Option (Right to Buy)	$5.2	07/19/2017		D			1,250	(2)	06/08/2021	Common Stock	1,250	(2)	0	D
Stock Option (Right to Buy)	$3.8	07/19/2017		D			1,250	(2)	06/06/2022	Common Stock	1,250	(2)	0	D
Stock Option (Right to Buy)	$3.2	07/19/2017		D			1,250	(2)	06/13/2023	Common Stock	1,250	(2)	0	D
Stock Option (Right to Buy)	$5.4	07/19/2017		D			2,500	(2)	06/13/2024	Common Stock	2,500	(2)	0	D
Stock Option (Right to Buy)	$5.81	07/19/2017		D			2,500	(2)	06/12/2025	Common Stock	2,500	(2)	0	D
Stock Option (Right to Buy)	$4.5	07/19/2017		D			2,500	(2)	06/10/2026	Common Stock	2,500	(2)	0	D

Explanation of Responses:

1. Cancelled pursuant to the Agreement and Plan of Merger (the "Merger Agreement") by and among Sajan, Inc., a Minnesota corporation, Amplexor USA, Inc., a Delaware corporation, ("Amplexor"), and Amplexor Falcon, Inc., a Delaware corporation and a wholly-owned subsidiary of Amplexor, and converted into the right to receive $5.83 per share.

2. Pursuant to the Merger Agreement, each unvested stock option became fully vested and exercisable immediately prior to the effective time of the merger. Each stock option that was outstanding and unexercised as of the effective time of the merger and had an exercise price per share that was less than $5.83 was then cancelled and converted into the right to receive a cash payment equal to $5.83 minus the exercise price, multiplied by the number of shares issuable upon exercise of such stock option, less any required withholding of taxes.

Remarks:

	/s/ John R. Houston as Attorney-in-Fact for Ben F. Allen pursuant to Power of Attorney previously filed.	07/19/2017
	** 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 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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