SEC Form 4 · accession 0001493152-17-006483
NextPlat Corp · NXPL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Phipps
Officer — CHIEF EXECUTIVE OFFICER · Director · 10% Owner
Period of report
Jun 9, 2017
Accepted (ET)
Jun 12, 2017 · 4:31 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001058307
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common | Jun 9, 2017 | C | 1,144,790 | $0.00 | A | 3,484,630 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Preferred Series EF1 | — | Jun 9, 2017 | C | 114,479 | D | — | — | Common Stock | 1,144,790 | 6,133,537 | D |
Explanation of responses
- F1The convertible preferred stock converted into the Issuer's common stock at a conversion ratio of ten (10) shares of common stock for every one share of preferred stock upon conversion and had no expiration date.