SEC Form 4 · accession 0001441557-15-000019
PSM HOLDINGS INC · PSMH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
LB Merchant PSMH-1, LLC
10% Owner
Period of report
May 25, 2015
Accepted (ET)
May 27, 2015 · 1:19 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001362180
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | May 25, 2015 | M | 28,262 | — | A | 28,262 | D | |
| Common StockF1 | May 25, 2015 | M | 7,305 | — | A | 35,567 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantsF4,F1 | — | May 25, 2015 | X | 50,000 | D | Mar 13, 2014 | Mar 13, 2019 | Common Stock | 50,000 | 0 | D |
| WarrantsF5,F1 | — | May 25, 2015 | X | 16,000 | A | Feb 10, 2014 | Nov 12, 2019 | Common Stock | 16,000 | 0 | D |
| Preferred Series AF2,F3 | — | holding | — | — | — | Feb 14, 2013 | — | Common Stock | 15,416,667 | 15,416,667 | D |
Explanation of responses
- F1Cashless exercise of Warrants
- F2The 3,700 shares of Series A Convertible Preferred Stock are convertible at a rate of approximately 4,167 common shares of Common Stock for each share of preferred stock converted, at the times and under the circumstances described in the Certificate of Designations, Preferences, and Rights for the Series A 6% Convertible Preferred Stock. The Series A Convertible Preferred Stock has no expiration date.
- F3No expiration date.
- F4Of which 21,738 warrants were cancelled in connection with the cashless exercise.
- F5Of which 8,695 warrants were cancelled in connection with the cashless exercise.