SEC Form 3 · accession 0001065949-16-000437
MEDICAL INNOVATION HOLDINGS, INC. · MIHI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
ELK HEALTH HOLDINGS, LLC
10% Owner
Period of report
May 13, 2016
Accepted (ET)
Jun 28, 2016 · 2:23 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001093248
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 144,000,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series "A" Convertible Preferred StockF2,F1 | — | holding | — | — | — | May 13, 2016 | — | Common Stock | 12 | — | D |
Explanation of responses
- F1No expiry of conversion rights.
- F2Each 1 share of Series "A" Convertible Preferred Stock shall be converted into 1% of the Company's common stock outstanding at the time of conversion.