SEC Form 4 · accession 0001354488-16-008122
CONCIERGE TECHNOLOGIES INC · CNCG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Nicholas Daniel Gerber
Officer — CEO · Director
Period of report
Jul 27, 2016
Accepted (ET)
Jul 29, 2016 · 2:49 pm EDT
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 | Jul 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 four percent (4%) per annum and increases to eight percent (8%) in the event of default by the Company. The note may be prepaid at any time in whole or in part by the Company and is convertible into common stock of the Company at the election of Wainwright Holdings, Inc. on July 27, 2016, at a conversion price of $0.10 per share. The conversion price is subject to adjustment for mergers, consolidations, share exchanges, recapitalizations or similar events and matures on January 27, 2021.