SEC Form 4 · accession 0001140361-16-070297
Event Cardio Group Inc. · ECGI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Nick Bozza
10% Owner
Period of report
Jun 16, 2016
Accepted (ET)
Jun 20, 2016 · 2:09 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001394130
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Jun 16, 2016 | D | 20,000,000 | — | D | 9,812,500 | I | The Nick Bozza Family Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Put Option (right to buy)F1,F2 | $0.0509 | Jun 16, 2016 | P | 9,812,500 | A | Jun 16, 2016 | May 6, 2018 | Common Stock | 9,812,500 | 9,812,500 | I |
Explanation of responses
- F1Total purchase price of Cdn$988,022.50 (US$757,627.87, converted using the Bank of Canada noon exchange rate of Cdn$1.3041=US$1.00) was allocated to the purchase of the 20,000,000 common shares of Event Cardio Group Inc. (the "Issuer"). The purchase agreement include a non-transferable, non-assignable put option to the Issuer for purchase of the remainder of the common shares held by the reporting person.
- F2The shares of common stock are beneficially owned by The Nick Bozza Family Trust (the "Trust") of which the Reporting Person is one of three trustees. The Reporting Person disclaims beneficial ownership of the shares beneficially owned by the Trust.