SEC Form 4 · accession 0001179110-17-001157
CREATIVE REALITIES, INC. · CREX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald A Harris
Director
Period of report
Feb 18, 2015
Accepted (ET)
Jan 23, 2017 · 2:20 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001356093
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 1,715,815 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Convertible Preferred StockF2,F1 | $0.255 | Feb 18, 2015 | P | 50,000 | A | Feb 18, 2015 | — | Common Stock | 196,078 | 50,000 | D |
| Warrants to purchase Common StockF2 | $0.50 | Feb 18, 2015 | P | 62,500 | A | Feb 18, 2015 | Feb 18, 2020 | Common Stock | 62,500 | 62,500 | D |
| Series A Convertible Preferred StockF3,F1 | $0.255 | Jun 30, 2015 | J | 1,100 | A | Jun 30, 2015 | — | Common Stock | 4,314 | 51,100 | D |
| Series A Convertible Preferred StockF3,F1 | $0.255 | Dec 31, 2015 | J | 1,533 | A | Dec 31, 2015 | — | Common Stock | 6,012 | 52,633 | D |
| Warrants to purchase Common StockF4 | $0.28 | Jun 13, 2016 | J | 357,143 | A | Jun 13, 2016 | Jun 13, 2021 | Common Stock | 357,143 | 357,143 | D |
| Series A Convertible Preferred StockF3,F1 | $0.255 | Jun 30, 2016 | J | 1,579 | A | Jun 30, 2016 | — | Common Stock | 6,192 | 54,212 | D |
Explanation of responses
- F1No expiration date.
- F2The Series A Convertible Preferred Stock and Warrants were purchased together for the price of $1.00 per share.
- F3The Reporting Person received these shares as a payment-in-kind dividend.
- F4The Reporting Person received this Warrant in connection with a debt instrument.