SEC Form 4 · accession 0001380389-17-000086
Acacia Diversified Holdings, Inc. · ACCA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gary Jack Roberts Jr.
Director
Period of report
Oct 18, 2017
Accepted (ET)
Oct 20, 2017 · 5:53 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 StockF1,F2 | Oct 18, 2017 | J | 80,000 | $1.60 | A | 362,000 | D | |
| Common StockF3,F4 | Oct 18, 2017 | J | 15,520 | $0.61 | A | 377,520 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares of common stock of the issuer were issued in exchange for the transfer of the reporting person's direct or beneficial ownership rights to real property and government granted licenses that were obtained under Tennessee law.
- F2The price per share was calculated at fair market value in accordance with GAAP accounting procedures at the time that the transaction was recorded as an executory contract in the issuer's company records.
- F3See footnote 1 above.
- F4See footnote 2 above.
- F5See footnote 1 above.
- F6See footnote 1 above.