SEC Form 4 · accession 0001441557-16-000086
PSM HOLDINGS INC · PSMH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
LB Merchant PSMH-2, LLC
10% Owner
Period of report
Jun 30, 2016
Accepted (ET)
Jul 5, 2016 · 6:18 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 | — | — | — | 5,479 | 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 C StockF1,F2 | $0.03 | Jun 30, 2016 | J | 2,999,400 | A | Apr 1, 2014 | — | Common Stock | 2,999,400 | 79,799,400 | D |
Explanation of responses
- F1The 1,800 shares of Series C Convertible Preferred Stock are convertible at a rate of 44,333 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 C Preferred Stock regarding voluntary conversion of the Series C 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 C Preferred Stock.
- F2No Expiration Date.