SEC Form 4 · accession 0001415889-17-001266
FITLIFE BRANDS, INC. · FTLF
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
Lewis Jaffe
Director
Period of report
May 17, 2016
Accepted (ET)
Jul 24, 2017 · 7:09 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001374328
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 16, 2016 | A | 12,987 | — | A | 482,987 | D | |
| Common StockF1 | Jun 30, 2017 | A | 9,804 | — | A | 492,791 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionF2 | $1.43 | May 17, 2016 | A | 25,000 | A | May 17, 2016 | May 17, 2021 | Common Stock | 25,000 | 25,000 | D |
Explanation of responses
- F1Shares issued in lieu of board fees in connection with the Reporting Person's service on the Issuer's Board of Directors.
- F2Options vest in 36 equal monthly installments.