SEC Form 4 · accession 0001493152-17-003191
POSITIVEID Corp · PSID
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William J Caragol
Officer — Chief Executive Officer · Director · 10% Owner
Period of report
Mar 29, 2017
Accepted (ET)
Mar 31, 2017 · 3:53 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001347022
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series II Convertible Preferred StockF1,F3,F2 | $0.0002 | Mar 29, 2017 | A | 250 | A | — | — | Common Stock | 1,388,888,889 | 1,327 | D |
Explanation of responses
- F1On March 29, 2017, PositiveID Corporation granted to Mr. Caragol 250 shares of Series II Convertible Preferred Stock ("Series II") as compensation for 2016. The Series II granted to Mr. Caragol have a stated value of $1,000 per share and are convertible into 1,388,888,889 shares of common stock, par value $0.0001 ("Common Stock"), at a conversion price of $0.00018 per share. The Series II will vest on January 1, 2019. Each share of Series II holds 25 votes per share for a total of 34,722,222,222 votes.
- F2No expiration date.
- F3As of March 29, 2017, Mr. Caragol owns (i) 44,668 shares of common stock and 170,000 options to purchase shares of Common Stock; and (ii) 1,327 shares of Series II, which were convertible as of March 29, 2017 into 7,598,441,400 shares of Common Stock. Each share of Series II holds 25 votes per share for a total of 189,961,035,008 votes. The shares of Series II constitute the majority of his beneficial ownership in the Company.