SEC Form 4 · accession 0001214659-17-005513
VerifyMe, Inc. · VRME
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Howard Goldberg
Director
Period of report
Sep 5, 2017
Accepted (ET)
Sep 6, 2017 · 4:20 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001104038
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Sep 5, 2017 | A | 1,430,000 | — | A | 1,831,312 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants (right to buy)F1,F2 | $0.15 | Sep 5, 2017 | A | 1,430,000 | A | Sep 5, 2017 | Sep 5, 2022 | Common Stock | 1,430,000 | 1,430,000 | D |
Explanation of responses
- F1The common stock and warrants were issued for a combination of securities owed for payment of a prior loan, cancellation of options, and services rather than cash as part of the Company's ongoing private placement. Because the future service period covers the four months ended December 31, 2017, 75,075 shares of common stock and 75,075 warrants shall vest on the last day of each of September, October, November, and December 2017.
- F2Not applicable.