SEC Form 4 · accession 0001080368-17-000003
ULURU Inc. · ULUR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Vaidehi Shah
Officer — Chief Executive Officer · Director
Period of report
Feb 27, 2017
Accepted (ET)
Mar 6, 2017 · 7:01 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001168220
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Secured Convertible Promissory NoteF1,F2 | $0.04 | Feb 27, 2017 | P | — | A | Feb 27, 2017 | Feb 27, 2019 | Common Stock | 12,500,000 | — | I |
Explanation of responses
- F1Ms. Shah is a managing member of Velocitas Partners LC, ("Velocitas"), the investment holding company holding the convertible note (the "Note") described herein. Ms. Shah disclaims beneficial ownership of the reported securities except to the extent of her pecuniary interest therein.
- F2The principal amount of, and accrued interest on, the Note is convertible into shares of Common Stock of the issuer at the conversion price: (i) at the option of Velocitas at any time; or (ii) automatically on February 27, 2019 (the "Maturity Date") unless an Event of Default (as defined in the Note ) is occurring and continuing as of the Maturity Date.