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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 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 | ||||||||
Warrants to purchase Common Stock | $ 0.65 | 02/22/2019 | P | 179,179 | 02/25/2019 | 11/13/2023 | Common Stock | 179,179 | (1) (2) | 179,179 (2) | D | ||||
Warrants to purchase Common Stock | $ 9.45 | 02/22/2019 | P | 14,320 | 02/25/2019 | 10/31/2020 | Common Stock | 14,320 | (1) (2) | 14,320 (2) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Goldfarb Adrian Graham 6622 SOUTHPOINT DRIVE S JACKSONVILLE, FL 32216 |
X | CFO |
/s/ Adrian G. Goldfarb | 02/25/2019 | |
**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 February 22, 2019, Mr. Goldfarb purchased in a private transaction from a shareholder of the Company, 26,407 shares of common stock, a warrant to purchase 179,179 shares of common stock with an exercise price of $0.65 per share and a warrant to purchase 14,320 shares of common stock with an exercise price of $9.45 per share in exchange for a promissory note in the principal amount of $275,000. This is equivalent to approximately $1.25 per share of common stock or common stock equivalent. |
(2) | Excludes 34,020 warrants to purchase common stock as previously reported by Mr. Goldfarb on December 5, 2017 and 265,000 options issued to Mr. Goldfarb on March 8, 2018. |