SEC Form 4 · accession 0001441557-16-000051
PSM HOLDINGS INC · PSMH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jim Miller
Director
Period of report
Feb 8, 2016
Accepted (ET)
Feb 9, 2016 · 11:40 am EST
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 Stock | holding | — | — | — | 1,000,000 | I | Family Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantsF1 | $0.011 | Feb 8, 2016 | P | 50,000 | A | Feb 8, 2016 | Feb 8, 2021 | Common Stock | 50,000 | 100,000 | D |
| Warrants | $0.24 | holding | — | — | — | Feb 13, 2014 | Feb 13, 2019 | Common Stock | 50,000 | 50,000 | D |
Explanation of responses
- F1For each $1.00 loaned to the Borrower, the Lender shall receive FOUR-TENTHS (0.4) of one warrant to purchase shares of common stock. An aggregate of $125,000 was paid by Mr. Miller.