SEC Form 4 · accession 0001144204-17-002494
NAKED BRAND GROUP INC. · NAKD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Andrew J Kaplan
Director
Period of report
Jan 12, 2017
Accepted (ET)
Jan 17, 2017 · 6:18 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001383097
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 12, 2017 | A | 97,837 | $1.04 | A | 172,288 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible Promissory NoteF1 | $1.04 | Jan 12, 2017 | A | — | A | Jan 12, 2017 | Jan 12, 2017 | Common Stock | 97,837 | — | D |
| Convertible Promissory NoteF1 | $1.04 | Jan 12, 2017 | M | — | D | Jan 12, 2017 | Jan 12, 2017 | Common Stock | 97,837 | — | D |
Explanation of responses
- F1On November 3, 2016, the reporting person purchased a 9% convertible promissory note for $100,000 (the "Note") that was convertible into shares of common stock . On January 12, 2017, in connection with the completion of the Qualified Financing (as defined in the Note), the outstanding balance of the Note, including principal and accrued interest of $100,000 and $1,750.68, respectively, automatically converted into 97,837 shares of common stock at a conversion price per share of $1.04.