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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 | ||||||||
OPTIONS TO PURCHASE | $ 0.45 | 01/02/2017 | M | 139,634 | 01/02/2017 | 01/02/2017 | COMMON STOCK | 139,634 | $ 0 (3) | 2,050,000 (2) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Adnani Amir 1030 WEST GEORGIA ST., VANCOUVER, A1 V6E 2Y3 |
X | President and CEO |
/s/ Amir Adnani | 01/03/2017 | |
**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) | The Reporting Person exercised options previously granted to him under the Company's stock incentive plan, electing to pay the exercise price pursuant to the deemed net-stock exercise provision of such plan. As such, the Issuer withheld from the shares issuable to the Reporting Person that number of shares having a fair market value equal to the aggregate exercise price (that being 56,103 shares at a fair market value of $1.12 per share), such that the Reporting Person was issued a total of 83,531 shares. |
(2) | Granted pursuant to and in accordance with the Company's stock incentive plan. |
(3) | Subsequent to such exercise, the Reporting Person holds options to purchase: 250,000 shares at an exercise price of $0.45 per share expiring on April 7, 2018; 1,500,000 shares at an exercise price of $.132 per share, expiring on September 3, 2019; and 300,000 shares at an exercise price of $0.93 expiring on July 28, 2021 (these options to purchase 300,000 shares vest over an 18-month period from grant, such that 25% vested on October 28, 2016, 25% will vest on January 28, 2017, 25% will vest on July 28, 2017 and the final 25% will vest on January 28, 2018) |