SEC Form 4 · accession 0001415889-18-001646
FITLIFE BRANDS, INC. · FTLF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Grant Robert Dawson
Director
Period of report
Nov 13, 2018
Accepted (ET)
Nov 15, 2018 · 3:17 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001374328
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A PreferredF2,F1 | $0.46 | Nov 13, 2018 | P | 25 | A | Nov 13, 2018 | — | Common Stock | 54,348 | 25 | D |
| WarrantF2 | $0.46 | Nov 13, 2018 | P | 16,304 | A | Nov 13, 2018 | Nov 13, 2023 | Common Stock | 16,304 | 16,304 | D |
Explanation of responses
- F1Shares of the Issuer's Series A Preferred do not expire.
- F2The Reporting Person purchased 25 units ("Units") for $1,000 per Unit, with each Unit consisting of one share of the Issuer's Series A Preferred Stock, par value $0.01 per share, and a five-year warrant to purchase that number of shares of the Issuer's common stock equal to 30% of the shares of the Issuer's common stock issuable upon conversion of the Series A Preferred purchased by the Reporting Person.