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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 | ||||||||
Series D Stock Purchase Warrant | $ 1.1 | 06/05/2015 | P | 5,000 | 06/05/2015 | 06/05/2020 | Common stock | 5,000 | $ 1 (1) | 15,000 (3) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Bold Thomas 430 PARK AVENUE SUITE 702 NEW YORK, NY 10022 |
President & CEO |
Thomas Bold | 06/08/2015 | |
**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) | On June 5, 2015, Mr. Bold entered into a Subscription Agreement with the Company for the purchase of 5,000 units of the Company's equity securities at a price of $1.00 per Unit for an aggregate of $5,000. Each Unit consists of one share of common stock and one Series D Stock Purchase Warrant allowing Mr. Bold to purchase one share of common stock at a price of $1.10 per share for a period of five years and may be exercised on a cashless basis. |
(2) | Consists of 5,000 shares of common stock. Does not include a Series D Warrant to purchase 5,000 shares of common stock, and a vested option to purchase 10,000 shares of common stock or an option to purchase 10,000 shares of common stock that vests on December 1, 2015. |
(3) | Consists of a Series D Warrant to purchase up to 5,000 shares of common stock and a vested option to purchase up to 10,000 shares of common stock. Does not include an option to purchase up to 10,000 shares of common stock that vests on December 1, 2015. |