SEC Form 4 · accession 0001213900-18-012278

Jerrick Media Holdings, Inc. · JMDA

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Chief Executive Officer · Director

Period of report

Apr 17, 2018

Accepted (ET)

Sep 7, 2018 · 4:43 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001357671

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock	Aug 31, 2018	C	178,992	$0.20	A	11,674,876	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Convertible Promissory Note^F1	$0.20	Apr 17, 2018	P	178,992	A	Apr 17, 2018	—	Common Stock	178,992	178,992	D
Convertible Promissory Note^F1	$0.20	Aug 31, 2018	C	178,992	D	Apr 17, 2018	—	Common Stock	178,992	0	D
Warrants to Purchase Common Stock^F2	$0.20	Jun 29, 2018	P	30,000	A	Jun 29, 2018	Jun 29, 2022	Common Stock	30,000	30,000	D
Warrant to Purchase Common Stock^F1	$0.30	Aug 31, 2018	A	89,496	A	Aug 31, 2018	Aug 31, 2023	Common Stock	89,496	89,496	D

F1Effective August 31, 2018 Jerrick Media Holdings, Inc. (the "Company") entered into a letter agreement (the "Letter Agreement") with Mr. Jeremy Frommer whereby the Company issued to Mr. Frommer an aggregate of 178,992 shares of common stock upon the conversion of outstanding debt securities held by Mr. Frommer. Further, as inducement to enter into the Letter Agreement, Mr. Frommer was issued a warrant to purchase 89,496 shares of the Company's common stock with an exercise price of $0.30 per share. No money was paid to the Company for the foregoing transactions.
F2The 30,000 warrants to purchase shares of the Company's common stock were issued to Mr. Frommer in connection with a loan made to the Company in the principal amount of $10,000.