SEC Form 4 · accession 0001278521-17-000006
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 19, 2017
Accepted (ET)
Dec 22, 2017 · 9:03 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 StockF1 | Dec 19, 2017 | P | 2,500 | $0.287 | A | 16,924,781 | D | |
| Common StockF2 | Dec 21, 2017 | P | 8,500 | $0.278 | A | 16,933,281 | D | |
| Common StockF3 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants | $0.42 | holding | — | — | — | Jun 16, 2017 | Jun 15, 2018 | Common Stock | 200,000 | 200,000 | D |
| Employee Stock (Right to Buy) | $0.42 | holding | — | — | — | Nov 8, 2017 | Nov 8, 2022 | Common Stock | 25,000 | 25,000 | D |
Explanation of responses
- F1Mr. T. M. Williams acquired 2,500 shares of Shoal Games Ltd. @ CAD$0.37 (approximately US$0.287) per share on December 19, 2017.
- F2Mr. T. M. Williams acquired 8,500 shares of Shoal Games Ltd. @ CAD$0.354 (approximately US$0.278) per share on December 21, 2017.
- F3Mr. Williams is a potential beneficiary of several discretionary trusts that hold approximately 80% of Bingo, Inc. Bingo, Inc. is the holder of these securities.