SEC Form 4 · accession 0001213900-17-009520
Jerrick Media Holdings, Inc. · JMDA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Andrew Fleming Taffin
Director
Period of report
Aug 25, 2017
Accepted (ET)
Sep 8, 2017 · 2:57 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants to Purchase Common StockF1 | $0.20 | Aug 25, 2017 | A | 500,000 | A | Aug 25, 2017 | Aug 25, 2022 | Common Stock | 500,000 | 1,291,113 | D |
| Options to Purchase Common StockF2 | $0.16 | Aug 28, 2017 | A | 50,000 | A | Aug 28, 2017 | Aug 28, 2022 | Common Stock | 50,000 | 1,341,113 | D |
Explanation of responses
- F1On August 25, 2017 the Issuer entered into a Subscription Agreement with Mr. Andrew Taffin, pursuant to which Mr. Taffin paid the Issuer $25,000 and Mr. Taffin received a 15% Unsecured Note and a warrant to purchase 500,000 shares of the Issuer's common stock.
- F2On August 28, 2017 Mr. Taffin received 50,000 options to purchase the Issuer's common stock at an exercise price of $0.16 per share for compensation related to his service as a member of the Board of Directors of the Company.