SEC Form 4 · accession 0001571049-17-003972
InsPro Technologies Corp · ITCC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
CO-INVESTMENT FUND II, L.P.
10% Owner
Period of report
Apr 20, 2017
Accepted (ET)
Apr 26, 2017 · 3:40 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001309442
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series C Convertible Preferred StockF1 | — | Apr 20, 2017 | P | 1,000,000 | A | Apr 20, 2017 | — | Common | 20,000,000 | 1,000,000 | D |
Explanation of responses
- F1In a private placement conducted by the Issuer on April 20, 2017, The Co-Investment Fund II, L.P. purchased 1,000,000 shares of Series C Convertible Preferred Stock (convertible into 20 shares of the Issuer's Common Stock, subject to certain adjustments). There is no expiration date for the conversion of the Series C Convertible Preferred Stock, and no exercise price to be paid in connection therewith.