Copsync (COYN) Form 5/A COPsync / Joseph Rosario Sr. Alosa ownership change

SEC Form 5

FORM 5

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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

Form 3 Holdings Reported.

Form 4 Transactions Reported.

1. Name and Address of Reporting Person^*

Alosa Joseph Rosario Sr.

(Last) (First) (Middle)

P.O. BOX 802108

(Street)

DALLAS TX 75380-2108

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
COPsync, Inc. [ COYN ]

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

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

3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2015

4. If Amendment, Date of Original Filed (Month/Day/Year)
01/28/2016

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 at end of Issuer's Fiscal Year (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
				Amount	(A) or (D)	Price
Common Stock							50,000(1)	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)
					(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Option to Purchase Common Stock	(2)						(3)	(4)	Common Stock	5,233(5)		5,233(5)	D

Explanation of Responses:

1. The beneficial ownership report on Form 5 that was filed with the SEC on January 28, 2016, erroneously attributed 86,000 shares to Mr. Alosa that were actually acquired by his son, Joseph Alosa, Jr. Therefore, the correct amount of securities beneficially owned by Mr. Alosa at the end of December 31, 2015 was actually 50,000 shares of common stock.

2. At the time the original beneficial ownership report was filed on Form 5, Mr. Alosa had the right to purchase 3,233 shares under an option agreement and his spouse had the right to purchase 2,000 shares of common stock upon the exercise of a warrant. These stock options and warrants have varying exercise prices.

3. At the time the original beneficial ownership report was filed on Form 5, Mr. Alosa had the right to purchase 3,233 shares under an option agreement and his spouse had the right to purchase 2,000 shares of common stock upon the exercise of a warrant. These stock options and warrants have varying exercise dates.

4. At the time the original beneficial ownership report was filed on Form 5, Mr. Alosa had the right to purchase 3,233 shares under an option agreement and his spouse had the right to purchase 2,000 shares of common stock upon the exercise of a warrant. These stock options and warrants have varying expiration dates.

5. At December 31, 2015, Mr. Alosa had 5,233 vested option shares, inclusive of 2,000 shares issuable upon the exercise of a warrant held by Mr. Alosa's spouse.

	/s/Joseph Alosa, Sr. By: Maria G. Fernandez, Attorney-in-Fact	02/14/2017
	** 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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