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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (Right to Buy) | $ 0.001 | 05/18/2016 | P | 100,000 | (3)(4) | 11/04/2020 | Common Stock(by voting control) | 100,000 | $ 0 | 2,861,698 | D (5) (6) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
JACOBS GERARD M. 31 N SUFFOLK LANE LAKE FOREST, IL 60045 |
X | X | President, CEO |
/s/ Gerard M. Jacobs | 05/20/2016 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | 100,000 shares of the Issuer's issued and outstanding common stock are owned by Miss Mimi Corporation, a corporation owned and controlled by Gerard M. Jacobs. |
(2) | 351,623 shares of the Issuer's issued and outstanding common stock are deemed beneficially owned as a result of voting control by Mr. Jacobs. |
(3) | The stock option is fully exercisable. |
(4) | The stock option was granted to Gerard M. Jacobs on November 4, 2010 in connection with the issuer's acquisition of Cogility Software Corporation and the shares subject to the stock option became exercisable upon closing of the Cogility acquisition on September 29, 2011. On May 18, 2016, Mr. Jacobs assigned the stock option to Miss Mimi Corporation. Miss Mimi Corporation immediately exercised the stock options and paid the issuer $100. |
(5) | Gerard M. Jacobs has direct interest in options or warrants to purchase 2,576,698 shares of the Issuer's common stock. |
(6) | Gerard M. Jacobs has indirect interest through voting control in options or warrants to purchase 285,000 shares of the Issuer's common stock. |