SEC Form 4/A · accession 0001385150-15-000002
Acacia Diversified Holdings, Inc. · ACCA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Steven L Sample
Officer — President & CEO · Director · 10% Owner
Period of report
Sep 3, 2014
Accepted (ET)
Jul 16, 2015 · 11:17 am 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,F3,F4 | Sep 3, 2014 | G | 395,000 | $0.00 | D | 5,507,914 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This entry represents gifting transactions from Reporting Person to his family and one other person. Reporting Person inadvertently failed to report the transaction in a timely manner.
- F2This entry represents gifting transactions from Reporting Person to his family and one other person. Reporting Person inadvertently failed to report the transaction in a timely manner.
- F3This amendment to original Form 4 is made to correct errors in addition as to number of shares held by Reporting Person following this gifting transaction.
- F4Reporting Person disclaims any beneficial ownership in securities held by others, and disclaims beneficial ownership of any other person in his securities.
Remarks
Reporting Person disclaims any beneficial ownership in securities held by others, and disclaims beneficial ownership of any other person in his securities.