SEC Form 4 · accession 0001493152-17-015006
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 20, 2017
Accepted (ET)
Dec 22, 2017 · 4:09 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 20, 2017 | C | 5,926,190 | $0.00 | A | 13,416,400 | 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 20, 2017 | C | 592,619 | D | — | — | Common Stock | 5,926,190 | 5,140,360 | D |
Explanation of responses
- F15,926,190 shares of common stock were issued upon conversion of 592,619 shares of Series E Preferred Stock.