SEC Form 4 · accession 0001493152-17-014497
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
Dec 11, 2017
Accepted (ET)
Dec 12, 2017 · 3:49 pm EST
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 Stock | Dec 11, 2017 | C | 4,005,580 | $0.00 | A | 7,490,210 | 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 | — | Dec 11, 2017 | C | 400,558 | D | — | — | Common Stock | 4,005,580 | 5,732,979 | D |
Explanation of responses
- F14,005,580 shares of common stock were issued upon conversion of 400,558 shares of Series E Preferred Stock.