SEC Form 4 · accession 0001493152-18-017842
NextPlat Corp · NXPL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Theresa Carlise
Officer — CFO , Secretary & Treasurer
Period of report
Dec 18, 2018
Accepted (ET)
Dec 21, 2018 · 3:49 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001058307
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options to purchase Common StockF1 | $1.50 | Jun 14, 2018 | A | 50,000 | A | — | Jul 1, 2021 | Common Stock | 50,000 | 78,833 | D |
| Options to purchase Common StockF2 | $1.50 | Dec 18, 2018 | J | 37,500 | D | — | Jul 1, 2021 | Common Stock | 37,500 | 40,833 | D |
| Options to purchase Common StockF3 | $0.15 | Dec 18, 2018 | A | 162,500 | A | — | Dec 17, 2023 | Common Stock | 162,500 | 203,333 | D |
Explanation of responses
- F1The subject options vest in equal quarterly installments starting July 1, 2018 over the next two years.
- F2The subject options were cancelled.
- F3The subject options are fully vested as of grant date.