SEC Form 4/A · accession 0001415889-17-001394
FITLIFE BRANDS, INC. · FTLF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Lewis Jaffe
Director
Period of report
May 17, 2016
Accepted (ET)
Aug 15, 2017 · 7:23 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 | 77,988 | D | |
| Common StockF1 | Jun 30, 2017 | A | 9,804 | — | A | 77,988 | 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.