SEC Form 5 · accession 0001214659-18-001171
VerifyMe, Inc. · VRME
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Laurence J Blickman
Director · 10% Owner
Period of report
Dec 31, 2017
Accepted (ET)
Feb 13, 2018 · 6:17 pm EST
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 | Aug 10, 2017 | D | 300,000 | — | D | 0 | D | |
| Common StockF1 | Aug 10, 2017 | A | 300,000 | — | A | 6,058,641 | I | By Laurence J Blickman '91 Trust |
| Common Stock | holding | — | — | — | 490,503 | I | By Blickman 2005 Family Trust | |
| Common Stock | holding | — | — | — | 1,959,161 | I | By Laurence J. Blickman Defined | |
| Common Stock | holding | — | — | — | 92,603 | I | By Laurence J. Blickman SEP IRA |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants | $0.15 | Nov 28, 2017 | G | 100,000 | D | Jun 30, 2017 | Jun 30, 2022 | Common Stock | 100,000 | 2,494,039 | I |
Explanation of responses
- F1Not applicable.
- F2This transaction involved a gift of securities by the reporting person to his son, who does not share the reporting person's household. The reporting person disclaims beneficial ownership of the shares held by his son, and this report should not be deemed an admission that the reporting person is the beneficial owner of his son's shares for purposes of Section 16 or for any other purpose.