SEC Form 4 · accession 0001380389-17-000017
Acacia Diversified Holdings, Inc. · ACCA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard K Pertile
Officer — Chief Executive Officer · Director · 10% Owner
Period of report
Mar 14, 2017
Accepted (ET)
Mar 16, 2017 · 3:57 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001001463
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2 | Mar 14, 2017 | J | 50,000 | $0.00 | A | 4,884,000 | D | |
| Common StockF4,F5 | Mar 14, 2017 | J | 50,000 | $0.00 | A | 4,934,000 | I | Via Spouse |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares were issued in connection with a loan made by the Reporting Person to the Issuer for operating capital.
- F2The price per share was fixed by the board of directors as an incentive for Reporting Person to loan funds to the Issuer for operating capital.
- F3The shares were issued in connection with a loan made by the Reporting Person to the Issuer for operating capital.
- F4The price per share was fixed by the board of directors as an incentive for Reporting Person to loan funds to the Issuer for operating capital.
- F5The Reporting Person directed that the shares he was entitled to receive per his agreement with the Issuer be issued in the name of his spouse.