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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT 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 2270 (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 at End of Issuer's Fiscal Year (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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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Warrants | $ 8.4 | 10/27/2016 | Â | J | 20,834 (1) (3) | Â | 10/27/2016 | 10/27/2021 | Common Stock | $ 175,006 | 20,834 | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Schmitt George Frederick 240 SOUTH PINEAPPLE AVENUE, SUITE 701 SARASOTA, FL 34236 |
 X |  |  Chief Executive Officer |  |
/s/ George Schmitt | 02/14/2017 | |
**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) | In August 2015, Mr. Schmitt advanced $500,000.00 (the "Indebtedness Amount") to the Issuer. In partial repayment of the Indebtedness Amount (the "Repayment"), the Issuer issued to Mr. Schmitt 2,977 shares of the Issuer's common stock, par value $0.00001 per share (the "Common Stock") and warrants to purchase 20,834 shares of Common Stock. |
(2) | The Issuer issued Mr. Schmitt shares of the Common Stock in consideration for Mr. Schmitt's personal guaranty of the payables underlying the Asset Purchase Modification Agreement entered into by and between the Issuer and Integrated Microwave Technologies, LLC on April 12, 2016. |
(3) | Share totals have been adjusted to reflect a 1-for- reverse stock split effected by the Issuer on December 15, 2016. |