SEC Form 4 · accession 0001437749-17-019385
Accelerize Inc. · ACLZ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anthony P. Mazzarella
Officer — Chief Financial Officer
Period of report
Nov 9, 2017
Accepted (ET)
Nov 14, 2017 · 5:02 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001352952
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F2,F1 | $0.50 | Apr 12, 2016 | D | 2,000,000 | D | — | Apr 12, 2026 | Common Stock | 2,000,000 | 0 | D |
| Warrant to purchase Common StockF2,F3 | $0.50 | Nov 9, 2017 | A | 2,000,000 | A | — | Nov 9, 2022 | Common Stock | 2,000,000 | 2,000,000 | D |
Explanation of responses
- F1The option provided for vesting in twelve equal quarterly installments commencing on April 1, 2016.
- F2The option was cancelled by mutual agreement of the reporting person and Accelerize Inc. In exchange, the reporting person was granted a warrant for 2,000,000 shares of common stock having an exercise price of $0.50 per share.
- F358.33% of the shares of common stock issuable upon exercise of the warrant were vested on October 1, 2017. The warrant vests thereafter in 5 equal quarterly installments.