SEC Form 4 · accession 0001213900-17-007011
Jerrick Media Holdings, Inc. · JMDA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Leonard M Schiller
Director
Period of report
Jul 1, 2016
Accepted (ET)
Jun 29, 2017 · 7:39 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001357671
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options to Purchase Common StockF1 | $0.25 | Jul 1, 2016 | A | 100,000 | A | Jul 1, 2016 | Jul 1, 2021 | Common Stock | 100,000 | 692,500 | I |
| Options to Purchase Common StockF2 | $0.22 | Jun 28, 2017 | A | 50,000 | A | Jun 28, 2017 | Jun 28, 2022 | Common Stock | 50,000 | 742,500 | I |
| Options to Purchase Common StockF3 | $0.30 | Jun 28, 2017 | A | 50,000 | A | Jun 28, 2017 | Jun 28, 2022 | Common Stock | 50,000 | 792,500 | I |
Explanation of responses
- F1Mr. Schiller reported an acquisition of 50,000 options to purchase common stock on a Form 3 filed with the Securities and Exchange Commission on February 16, 2016 (the "Form 3"), however, the Form 3 omitted in error the acquisition of an additional 100,000 options to purchase the Issuer's common stock pursuant to the same terms and conditions. All such options have an exercise price of $0.25. All such options were granted to Mr. Schiller in consideration for his service as a member of the Company's Board of Directors (the "Board").
- F2On June 28, 2017 Mr. Schiller received 50,000 options to purchase the Issuer's common stock at an exercise price of $0.22 per share related to his service as a member of the Board. Specifically, Mr. Schiller was due these options for his service during the third fiscal quarter of 2016 but such options were not issued by the Company until June 28, 2017.
- F3On June 28, 2017 Mr. Schiller received 50,000 options to purchase the Issuer's common stock at an exercise price of $0.30 per share related to his service as a member of the Board. Specifically, Mr. Schiller was due these options for his service during the fourth fiscal quarter of 2016 but such options were not issued by the Company until June 28, 2017.