SEC Form 4 · accession 0001144204-16-077383
INTELLINETICS, INC. · INLX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Murray H Gross
Director
Period of report
Jan 25, 2016
Accepted (ET)
Jan 27, 2016 · 9:30 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001081745
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| COMMON STOCKF1 | Jan 25, 2016 | P$0 | 20,000 | — | A | 352,543 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantF1 | $0.65 | Jan 25, 2016 | P | 10,000 | A | Jan 25, 2016 | Jan 24, 2021 | Common Stock | 10,000 | 703,169 | D |
Explanation of responses
- F1Units consisting of 2 shares and 1 warrant were purchased for $1.20 each.