SEC Form 4 · accession 0001278521-17-000005
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
Nov 8, 2017
Accepted (ET)
Nov 13, 2017 · 8:14 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 | — | — | — | 16,922,281 | 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)F3 | $0.42 | Nov 8, 2017 | A | 25,000 | A | Nov 8, 2017 | Nov 8, 2022 | Common Stock | 25,000 | 125,000 | D |
| WarrantsF2 | $0.42 | holding | — | — | — | Jun 16, 2017 | Jun 15, 2018 | Common Stock | 200,000 | 200,000 | 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 T.M. Williams holds 200,000 warrants of Shoal Games Ltd. The exercise price of the warrants is CAD$0.55 (approximately US$0.42) per share for the first six months following closing and $0.65 (approximately US$0.49) per share for the period which is 7-12 months following closing.
- F3Mr. T. M. Williams was granted 25,000 options with an exercise price of CAD$0.54 (US$0.42) on November 8, 2017.