SEC Form 4 · accession 0001437749-19-002174
CONCIERGE TECHNOLOGIES INC · CNCG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Period of report
Feb 7, 2019
Accepted (ET)
Feb 8, 2019 · 6:11 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001005101
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Feb 7, 2019 | C | 7,678,380 | $0.00 | A | 18,130,015 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series B Voting, Convertible Preferred StockF1,F2,F3,F4 | — | Feb 8, 2019 | C | 383,919 | D | Sep 16, 2017 | — | Common Stock | 7,678,380 | 0 | D |
Explanation of responses
- F1On February 7, 2019, the Reporting Person converted an aggregate 383,919 Series B Voting, Convertible Preferred Stock into 7,678,380 shares of common stock. The cost basis of the conversion is $0.00 per share. The Company completed a 1:30 reverse stock split on December 15, 2017 (the "Reverse Split"). The amount of securities beneficially owned reflects the Reverse Split.
- F2Nicholas Gerber and Melinda Gerber have voting dispositive control over the shares beneficially owned by the Nicholas and Melinda Gerber Living Trust.
- F3Each share of the Series B Voting, Convertible Preferred Stock is convertible into 20 shares of common stock.
- F4These derivatives do not expire.