Jeffrey B. Shealy - 04 Sep 2026 Form 4 Insider Report for Blue Laser Fusion, Inc.

Reporting relationship: Director
Issuer ticker: N/A
Reported as of: 04 Sep 2026
Net transaction value: $0
SEC form: 4
Accepted by SEC: 09 Sep 2026, 15:22:07 UTC
Prior SEC filing: 27 Oct 2025
Source filing: View source filing
Reporting owner signature: /s/ Jeffrey B. Shealy

Key filing fact

Jeffrey B. Shealy filed Form 4 for Blue Laser Fusion, Inc. on 09 Sep 2026.

Key facts

This page summarizes Jeffrey B. Shealy's Form 4 filing for Blue Laser Fusion, Inc..
1 reported transaction and 1 derivative row are listed below.
Accepted by SEC: 09 Sep 2026, 15:22.

Change

Previous filing in this sequence was filed on 27 Oct 2025.
Current net transaction value: $0.

Research use

This tells you what this filing adds before you inspect full transaction and derivative tables.
You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reporting Owners (1)

CIK 0001700683 Primary reporting owner

Shealy Jeffrey B.

Relationship: Director
Address: 6950 HOLLISTER AVENUE, GOLETA
Signature: /s/ Jeffrey B. Shealy
Signature date: 09 Sep 2026

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

No ticker transaction Derivative

Stock Option (right to buy)

Award

Transaction value
Shares: +22,098
Change %
Price
Shares after: 22,098
Date: 04 Sep 2026
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 22,098
Exercise price: $2.10
Footnotes: F1

^* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 1 footnote

Footnote F1

Received in the merger of Blue Laser Fusion Acquisition Co., a subsidiary of the issuer, with and into Blue Laser Subsidiary Inc. (f/k/a Blue Laser Fusion Inc., "Pre-Merger BLF"), pursuant to the Agreement and Plan of Merger, dated September 4, 2026, in exchange for an option to acquire 35,000 shares of common stock of Pre-Merger BLF for $1.32 per share. The option vests in 48 equal monthly installments beginning on February 1, 2026.