SEC Form 4 · accession 0001213900-17-008926
Ominto, Inc. · OMNT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Hansen
Officer — CHIEF EXECUTIVE OFFICER · Director · 10% Owner
Period of report
Aug 17, 2017
Accepted (ET)
Aug 18, 2017 · 4:15 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001097792
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| COMMON STOCKF1,F2 | Aug 17, 2017 | C | 185,000 | $0.00 | A | 3,531,242 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents shares issued upon the mandatory conversion of 185,000 shares of the Issuer's Super Voting Preferred Stock previously held by the Reporting Person, as required by the Certificate of Designation governing such Preferred Stock.
- F2Excludes 67,006 shares that have not yet vested. The Reporting Person disclaims a pecuniary interest in any other ownership interest, including those securities held by the Issuer's COO, Ms. Sorensen with whom he shares a household, and their adult child. As a member of the same household, Mr. Hansen may be deemed to have a pecuniary interest in any securities held by Ms. Sorensen or their adult child.