SEC Form 4 · accession 0001278520-17-000004
KIDOZ INC. · KDOZF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Henry Walford Bromley
Officer — Chief Financial Officer
Period of report
Nov 8, 2017
Accepted (ET)
Nov 13, 2017 · 8:39 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001318482
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 375,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock (Right to Buy)F1 | $0.42 | Nov 8, 2017 | A | 25,000 | A | Nov 8, 2017 | Nov 8, 2022 | Common Stock | 25,000 | 125,000 | D |
Explanation of responses
- F1Mr. H. Bromley was granted 25,000 options with an exercise price of CAD$0.54 (US$0.42) on November 8, 2017.