SEC Form 4 · accession 0001140361-18-019039
BLONDER TONGUE LABORATORIES INC · BDR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert J Palle Jr.
Officer — President and CEO · Director · 10% Owner
Period of report
Apr 17, 2018
Accepted (ET)
Apr 19, 2018 · 3:53 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001000683
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.001F2 | Apr 17, 2018 | A | 842,095 | $454,731.00 | A | 2,528,473 | D | |
| Common Stock, par value $0.001 | holding | — | — | — | 200,000 | I | By LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares were issued upon the conversion of $454,731 ($350,000 principal and $104,731 of accrued interest) of outstanding convertible subordinated indebtedness held by the reporting person and his spouse.
- F2Based on a conversion price of $0.54 per share.