SEC Form 4 · accession 0001441557-16-000069
PSM HOLDINGS INC · PSMH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kevin J. Gadawski
Officer — President & CFO · Director · 10% Owner
Period of report
Apr 6, 2016
Accepted (ET)
Apr 8, 2016 · 5:48 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 Stock | holding | — | — | — | 26,494 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantsF1,F2 | $0.04 | Apr 6, 2016 | A | 317,870 | A | Feb 5, 2014 | Feb 5, 2018 | Common Stock | 317,870 | 317,870 | D |
| WarrantsF3,F1 | $0.04 | Apr 6, 2016 | P | 4,000 | A | Feb 13, 2014 | Feb 13, 2019 | Common Stock | 4,000 | 321,870 | D |
| WarrantsF4 | $0.04 | Apr 6, 2016 | A | 640,810 | A | Apr 1, 2014 | Apr 1, 2019 | Common Stock | 640,810 | 962,680 | D |
| WarrantsF6,F1 | $0.01 | Apr 6, 2016 | A | 1,400,000 | A | Dec 15, 2014 | Dec 15, 2019 | Common Stock | 1,400,000 | 2,362,680 | D |
| WarrantsF9 | $0.011 | Apr 6, 2016 | A | 621,000 | A | Apr 6, 2016 | Apr 16, 2021 | Common Stock | 621,000 | 2,983,680 | D |
| OptionsF5 | $0.10 | holding | — | — | — | Apr 16, 2015 | Apr 16, 2017 | Common Stock | 1,250,000 | 1,250,000 | D |
| OptionsF7 | $0.035 | holding | — | — | — | Feb 12, 2016 | Feb 11, 2019 | Common Stock | 1,100,000 | 2,350,000 | D |
| OptionsF8 | $0.036 | holding | — | — | — | Mar 31, 2016 | Mar 31, 2019 | Common Stock | 10,000,000 | 12,350,000 | D |
Explanation of responses
- F1On April 6, 2016, the Company issued 862.5 Series E Preferred Shares with a conversion price of $0.01 which triggered an adjustment to the conversion price pursuant to the warrant agreement.
- F2On April 6, 2016, the Company issued 862.5 Series E Preferred Shares with a conversion price of $0.01 which triggered an adjustment to the conversion price pursuant to the warrant agreement.
- F3Received warrants pursuant to the Bridge Loan Agreement dated 2/10/14.
- F4Received warrants pursuant to the Stock Purchase Agreement dated 4/1/14 in connection with the Series C & D transaction.
- F5The options are subject to the following vesting requirements: one-third shall vest on April 16, 2015, one-third shall vest on April 16, 2016; and the remaining one-third shall vest on April 16, 2017.
- F6Received warrants pursuant to the Stock Purchase Agreement dated 12/15/15 in connection with the First Series E transaction.
- F7The options are subject to the following vesting requirements: one-third shall vest on February 12, 2016, one-third shall vest on February 12, 2017; and the remaining one-third shall vest on February 12, 2018.
- F8The options are subject to the following vesting requirements: one-third at 5:00 pm Pacific Time on March 31, 2016; one-third at 5:00 pm Pacific Time on March 31, 2017; and one-third at 5:00 pm Pacific Time on March 31, 2018.
- F9Received warrants pursuant to the Stock Purchase Agreement dated 4/6/16 in connection with the Second Series E transaction.