SEC Form 4 · accession 0001140361-15-019189

CapForce Inc. · CFOR

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Chief Executive Officer

Period of report

May 8, 2015

Accepted (ET)

May 12, 2015 · 6:46 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001293818

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F4	May 8, 2015	P	445,000	$6.00	A	445,000	I	See footnote
Common Stock^F1,F4	May 8, 2015	C	1,059,213	—	A	1,504,213	I	See footnote
Common Stock^F2,F4	May 8, 2015	C	749,366	—	A	2,253,579	I	See footnote
Common Stock^F2,F4	May 8, 2015	C	675,553	—	A	2,929,132	I	See footnote
Common Stock	May 8, 2015	P	8,333	$6.00	A	8,333	I	By spouse
Common Stock^F1	May 8, 2015	C	19,011	—	A	27,344	I	By spouse
Common Stock^F3	May 8, 2015	C	103,812	—	A	131,156	I	By spouse

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Series A Redeemable Convertible Preferred Stock^F4,F1	—	May 8, 2015	C	1,059,213	D	—	—	Common Stock	1,059,213	0	I
Series A Redeemable Convertible Preferred Stock^F1	—	May 8, 2015	C	19,011	D	—	—	Common Stock	19,011	0	I
2014 Convertible Notes^F4,F2	—	May 8, 2015	C	749,366	D	—	—	Common Stock	749,366	0	I
2015 Convertible Notes^F4,F3	—	May 8, 2015	C	675,553	D	—	—	Common Stock	675,553	0	I
2015 Convertible Notes^F3	—	May 8, 2015	C	103,812	D	—	—	Common Stock	103,812	0	I
Warrants^F4	$6.60	May 8, 2015	P	445,000	A	May 8, 2015	May 8, 2020	Common Stock	445,000	445,000	I
Warrants	$6.60	May 8, 2015	P	8,333	A	May 8, 2015	May 8, 2020	Common Stock	8,333	8,333	I

F1Series A Redeemable Convertible Preferred Stock automatically converted into common stock on a 1-to-1 basis upon the consummation of the Company's initial public offering.
F2The 2014 Convertible Notes automatically converted into shares of Series A Preferred Stock upon the consummation of the Company's initial public offering at a conversion rate of one share of Series A Preferred Stock for every $1.00 of principal converted. Each share of Series A Preferred Stock automatically converted into one share of common stock upon the consummation of the Company's initial public offering.
F3The 2015 Convertible Notes converted into Series A Preferred Stock upon the consummation of the Company's initial public offering at a conversion rate of 1.25 shares of Series A Preferred Stock for each $1.00 of principal converted. Each share of Series A Preferred stock automatically converted into one share of common stock upon the consummation of the Company's initial public offering.
F4The securities are directly held by jVen Capital, LLC ("jVen Capital"). Mr. Jones is managing member of jVen Capital and may be deemed to have voting and dispositive power over the shares owned by jVen Capital.