SEC Form 4 · accession 0001306734-16-000002
CONCIERGE TECHNOLOGIES INC · CNCG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Nicholas Daniel Gerber
Officer — Chief Executive Officer · Director · 10% Owner
Period of report
Jan 27, 2016
Accepted (ET)
Nov 8, 2016 · 7:42 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001005101
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible promissory note (right to buy)F1 | $0.10 | Jan 27, 2016 | P | 4,972,458 | A | Jul 27, 2016 | Jan 27, 2021 | Common Stock | 4,972,458 | 4,972,458 | I |
Explanation of responses
- F1On January 27, 2016 the Company entered into a convertible promissory note with Wainwright Holdings, Inc.,an entity that is affiliated with the Registrant, in the principal amount of $450,000. The note bears interest at 4% per annum and increases to 8% in the event of a default. The note may be prepaid at any time by the Company and is convertible into Common Stock of the Company at the election of Wainwright Holdings, Inc. on the date which is 180 days following issuance of the note at a conversion price of $0.10 per share. The conversion price is subject to adjustment for mergers, consolidations, share exchange, recapitalization or similar events and matures on January 27, 2021.