SEC Form 3 · accession 0001554795-15-000140
AMERICAN DOCTORS ONLINE, INC. · ADOL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul Ignatius Bulat
Officer — Chief Innovations Officer · Director · 10% Owner
Period of report
Oct 6, 2014
Accepted (ET)
Apr 9, 2015 · 4:50 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001164191
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 3,243,050 | 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 StockF1 | — | holding | — | — | — | — | — | Common Stock | 7,000,000 | — | D |
Explanation of responses
- F1The 3,500,000 shares of Series A Convertible Preferred Stock are convertible at any time, at the Reporting Person's election, on a two for one basis and have no expiration date.