SEC Form 4 · accession 0001213900-16-016530
Uplift Nutrition, Inc. · UPNT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sean C. Martin
Officer — Chief Executive Officer · Director
Period of report
Feb 4, 2016
Accepted (ET)
Sep 1, 2016 · 3:57 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001390705
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Aug 16, 2016 | J | 2,000,000 | $0.001 | A | 15,800,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants to purchase Common Stock | $0.001 | holding | — | — | — | Dec 3, 2016 | Jun 3, 2021 | Common Stock | 10,000,000 | 10,000,000 | D |
Explanation of responses
- F1On August 16, 2016, the Reporting Person agreed to forgive a loan of $2,000.00 owed by the Company which was due on August 22, 2016, in exchange for 2,000,000 shares of common stock of the Issuer. The issuance of the shares was approved by the Issuer's board of directors on August 16, 2016.
Remarks
On February 4, 2016, the Reporting Person was appointed as the Chief Executive Officer and sole Director of the Issuer. Mr. Martin assumed his position as Chief Executive Officer of the Company effective on the date of his appointment and his appointment as a Director of the Company became effective as of June 3, 2016, the date ten (10) days after the mailing to the Company's shareholders of a Schedule 14F-1 Information Statement, pursuant to Section 14F and Rule 14f-1 thereunder of the Securities Exchange Act of 1934, as amended (the "1934 Act").