SEC Form 4 · accession 0001437749-18-022817
TSS, Inc. · TSSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Glen Ikeda
10% Owner
Period of report
Dec 27, 2018
Accepted (ET)
Dec 31, 2018 · 4:05 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 | Dec 27, 2018 | X | 498,981 | $0.10 | A | 1,216,345 | D | |
| Common Stock | Dec 27, 2018 | X | 273,981 | $0.20 | A | 1,490,326 | D | |
| Common Stock | Dec 27, 2018 | X | 181,269 | $0.30 | A | 1,671,595 | D | |
| Common Stock | Dec 27, 2018 | J | 64,739 | $0.84 | D | 1,606,856 | 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)F2 | — | Dec 27, 2018 | X | 954,231 | D | Oct 7, 2017 | Jul 19, 2022 | Common Stock | 954,231 | 0 | D |
Explanation of responses
- F1Reflects 64,739 common shares withheld by the Issuer to fund the cashless exercise of the warrants.
- F2The exercise price is $0.10 for the first 498,981 shares, $0.20 for the next 273,981 shares, and $0.30 for the final 181,269 shares.