SEC Form 4 · accession 0001437749-17-007786
CATASYS, INC. · CATS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Terren S Peizer
Officer — Chairman & CEO · Director · 10% Owner
Period of report
Apr 28, 2017
Accepted (ET)
May 2, 2017 · 7:52 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001136174
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.0001F2 | Apr 28, 2017 | P | 181,154 | $4.80 | A | 6,574,196 | I | By Acuitas Group Holdings, LLC |
| Common Stock, par value $0.0001F3,F4 | Apr 28, 2017 | C | 2,385,111 | $1.80 | A | 8,959,307 | I | By Crede CG III, Ltd. |
| Common Stock, par value $0.0001F5 | Apr 28, 2017 | A | 233,735 | $4.80 | A | 9,193,042 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These securities were purchased by Acuitas Group Holdings, LLC ("Acuitas") in connection with a public offering by the issuer pursuant to a Registration Statement on Form S-1 (Registration No. 333-216007).
- F2The reporting person is the Managing Director of Acuitas and may be deemed to beneficially own or control the securities. The reporting person disclaims beneficial ownership of any such securities.
- F3In July 2015, Catasys, Inc., a Delaware corporation (the "Company") entered into a $3.56 million, 12% Original Issue Discount Convertible Debenture due January 18, 2016 (the "July 2015 Convertible Debenture") with Crede CG III, Ltd. ("Crede"). On April 28, 2017, Crede converted $4,293,198.01 principal amount of the July 2015 Convertible Debenture into 2,385,111 shares of the Company's common stock at the applicable conversion price.
- F4The reporting person is the Managing Director of Crede and may be deemed to beneficially own or control the securities. The reporting person disclaims beneficial ownership of any such securities.
- F5Terren Peizer deferred part of his salary in the amount of $1.1 million for the 2016 and 2015 years. On April 28, 2017, the Company issued 233,734 shares to Mr. Peizer as payment of such deferred salary.