SEC Form 4 · accession 0001140361-16-088704
COUNTERPATH CORP · CPAH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Period of report
Nov 2, 2015
Accepted (ET)
Dec 2, 2016 · 7:24 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001236997
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2,F1 | Nov 2, 2015 | P | 25,000 | $10.80 | A | 452,405 | I | KMB Trac Two Holdings Ltd. |
| Common StockF2 | holding | — | — | — | 15,047 | D | ||
| Common StockF2,F1 | holding | — | — | — | 14,600 | I | Karen Bruk | |
| Common StockF2,F1 | holding | — | — | — | 427,405 | I | KMB Trac Two Holdings Ltd. |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantsF1,F2 | $7.50 | holding | — | — | — | Sep 4, 2015 | Sep 4, 2017 | Common Stock | 65,000 | 650,000 | I |
Explanation of responses
- F1Steven Bruk is the legal and beneficial owner of 15,047 shares. Karen Bruk, is the legal owner of 14,600 shares (Karen Bruk and Steven Bruk are spouses). Karen Bruk is also the sole shareholder of KMB Trac Two Holdings Ltd. KMB is the legal owner of 427,405 shares and 65,000 shares that may be acquired on the exercise of warrants. Steven Bruk and Karen Bruk exercise shared investment power over the shares of common stock held by Karen Bruk and KMB.
- F2Reflects the reverse split on the basis of 10:1.