SEC Form 4 · accession 0001278521-16-000031
KIDOZ INC. · KDOZF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tryon M Williams
Officer — Executive Chairman · Director · 10% Owner
Period of report
Dec 22, 2016
Accepted (ET)
Dec 23, 2016 · 3:03 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 | — | — | — | 16,722,281 | D | ||
| Common StockF1 | holding | — | — | — | 2,877,465 | I | Discretionary Trust |
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)F2 | $0.42 | Dec 22, 2016 | A | 100,000 | A | Dec 22, 2016 | Dec 22, 2021 | Common Stock | 100,000 | 100,000 | D |
Explanation of responses
- F1Mr. Williams is a potential beneficiary of several discretionary trusts that hold approximately 80% of Bingo, Inc. Bingo, Inc. is the holder of these securities.
- F2Mr. Williams was granted 100,000 stock options at CAD$0.54 (US$0.42). These options vest immediately.