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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 | ||||||||
See Footnote (1) | $ 0.82 (2) | 11/11/2013 | A | $ 13,826,282 | 11/01/2013 | 11/14/2016 | Common Stock | 24,274,242 (2) | $ 13,826,282 | $ 13,826,282 | I | By Grasford Investments Ltd. |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Lugassy Avy 126 CHEMIN DES HAUTS CRETS, 1253 VANDOEUVRES, GENEVA, V8 00000 |
X |
/s/ Avy Lugassy | 11/13/2013 | |
**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) | Convertible Secured Subordinated Notes due November 14, 2016 (the "Notes"). |
(2) | The Notes are convertible into MobileSmith, Inc. (the "Issuer") common stock at the lowest "applicable conversion price" determined for each Note issued to any noteholder, which shall be the greater of: (i) $0.50 or (ii) 80% of the lowest closing price of the Issuer's common stock on the Over-The-Counter Bulletin Board, the Nasdaq Stock Market or the principal exchange on which the common stock is then listed in the twelve-month period immediately preceding the date such Note is converted (in each case, as adjusted for stock splits, dividends or combinations, recapitalizations or similar events). The conversion price in column 2 is the conversion price on the date of acquisition by Grasford Investments Ltd. and the number of underlying shares in column 7 is based on such conversion price. |