SEC Form 4 · accession 0001144204-15-072250
TSS, Inc. · TSSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gerard J Gallagher
Officer — Chief Technical Officer · Director
Period of report
Dec 21, 2015
Accepted (ET)
Dec 22, 2015 · 4:01 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001320760
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 1,148,018 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock Warrants (right to buy)F1,F2 | $0.15 | Dec 21, 2015 | J | 100,000 | A | Dec 21, 2015 | Feb 3, 2020 | Common Stock | 100,000 | 100,000 | D |
Explanation of responses
- F1The reporting person received the right to purchase 100,000 shares of Common Stock under a Warrant as partial consideration for the Second Amendment to Amended and Restated Convertible Promissory Note, dated December 21, 2015, which amends that certain Amended and Restated Convertible Promissory Note, dated May 21, 2013, in the original principal amount of $1,900,000, as amended by that certain Amendment to Amended and Restated Convertible Promissory Note, dated effective September 30, 2014.
- F2The warrants expire on December 21, 2020, or, if such day is not a business day, on the next preceding business day.