SEC Form 5 · accession 0001213900-19-000881
AIR INDUSTRIES GROUP · AIRI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert Taglich
Director · 10% Owner
Period of report
Dec 31, 2018
Accepted (ET)
Jan 17, 2019 · 6:12 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001009891
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Sep 30, 2018 | J | 86,401 | $1.39 | A | 2,003,507 | D | |
| Common Stock | Oct 5, 2018 | J | 29,741 | $1.41 | A | 2,033,248 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible Note | $1.50 | Sep 30, 2018 | J | — | A | Sep 30, 2018 | Dec 31, 2020 | Common Stock | 433,333 | — | D |
| Convertible NoteF4 | $1.50 | Sep 30, 2018 | J | — | A | Sep 30, 2018 | Dec 31, 2020 | Common Stock | 254,666 | — | I |
Explanation of responses
- F1Shares issued in lieu of cash payment of accrued interest on 8% Convertible Notes (the "8%" Notes).
- F2Shares issued in lieu of cash payment of director's fees.
- F36% Convertible Notes issued pursuant to amendment to 8% Notes reducing interest rate, reducing conversion rate to $1.50 per share and extendiing maturity date until December 31, 2020.
- F4Represents Notes owned by Taglich Brothers, Inc., of which Reporting Person is Managing Director.