SEC Form 4 · accession 0001441557-16-000085
PSM HOLDINGS INC · PSMH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
LB Merchant PSMH-1, LLC
10% Owner
Period of report
Jun 30, 2016
Accepted (ET)
Jul 5, 2016 · 6:10 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 | — | — | — | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Preferred Series A StockF1,F2 | $0.08 | Jun 30, 2016 | J | 2,312,500 | A | Feb 4, 2013 | — | Common Stock | 2,312,500 | 61,512,500 | D |
Explanation of responses
- F1The 3,700 shares of Series A Convertible Preferred Stock are convertible at a rate of 16,625 shares of Common Stock for each share of preferred stock converted. On June 30, 2016, pursuant to the provisions of the Certificate of Designation for the Series A Preferred Stock regarding voluntary conversion of the Series A Preferred Stock into Common Stock, a quarterly dividend was accrued but unpaid, which increased the convertible amount pursuant to the formula contained in the Certificate of Designation for the Series A Preferred Stock.
- F2No Expiration Date.