SEC Form 4 · accession 0001493152-19-000403
INTELLINETICS, INC. · INLX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert C Schroeder
Director
Period of report
Sep 26, 2018
Accepted (ET)
Jan 9, 2019 · 8:39 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 7, 2019 | A | 295,455 | — | A | 889,691 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WARRANTF2 | $0.18 | Sep 26, 2018 | J | 152,000 | A | Sep 26, 2018 | Sep 26, 2023 | COMMON STOCK | 152,000 | 617,841 | D |
Explanation of responses
- F1Granted in exchange for director services to the Company, in accordance with the Company's director compensation policy.
- F2Placement Agent Warrants were issued at a rate of 8% of the shares sold by Taglich Brothers, Inc., on behalf of the company, as part of a private placement of convertible debt conducted by the Company in September 2018.