SEC Form 4 · accession 0001213900-18-012354

Jerrick Media Holdings, Inc. · JMDA

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

Reporting owner

Director

Period of report

Aug 25, 2017

Accepted (ET)

Sep 11, 2018 · 7:21 am 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, par value $0.001 per share	Aug 31, 2018	C	978,293	$0.164	A	979,657	I	By Leonard M. Schiller Revocable Trust Dtd. 10/3/1997
Common Stock, par value $0.001 per share	Aug 31, 2018	C	144,323	$0.20	A	1,123,980	I	By Leonard M. Schiller Revocable Trust Dtd. 10/3/1997
Common Stock, par value $0.001 per share	Aug 31, 2018	C	136,094	$0.20	A	1,260,074	I	By Leonard M. Schiller Revocable Trust Dtd. 10/3/1997
Common Stock, par value $0.001 per share	Aug 31, 2018	C	521,848	$0.20	A	1,781,922	I	By Leonard M. Schiller Revocable Trust Dtd. 10/3/1997
Common Stock, par value $0.001 per share^F1	Aug 31, 2018	C	505,897	—	A	555,897	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Series A Cumulative Convertible Preferred Stock^F1	$0.164	Aug 31, 2018	C	1,364	D	—	—	Common Stock	978,293	0	I
Convertible Promissory Note^F1	$0.20	Aug 25, 2017	C	144,323	D	—	—	Common Stock	144,323	0	I
Convertible Promissory Note^F1	$0.20	Jan 30, 2018	C	136,094	D	—	—	Common Stock	136,094	0	I
Convertible Promissory Note^F1	$0.20	Oct 19, 2017	C	505,897	D	—	—	Common Stock	505,897	0	D
Warrant to Purchase Common Stock^F1	$0.30	Aug 31, 2018	A	890,280	A	Aug 31, 2018	Aug 31, 2023	Common Stock	890,280	890,280	I
Warrant to Purchase Common Stock^F1	$0.30	Aug 31, 2018	A	252,949	A	Aug 31, 2018	Aug 31, 2023	Common Stock	252,949	252,949	D

F1Effective August 31, 2018 Jerrick Media Holdings, Inc. (the "Company") entered into various letter agreements (the "Letter Agreements") with Mr. Leonard Schiller whereby the Company issued to Mr. Schiller an aggregate of 2,286,455 shares of common stock upon the conversion of outstanding shares preferred stock and debt securities held by Mr. Schiller. Further, as inducement to enter into the Letter Agreements, Mr. Schiller was issued two warrants to purchase an aggregate of 1,143,229 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.