SEC Form 4 · accession 0001594062-16-000649
Rafina Innovations Inc. · VICA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sergios Katsaros
Officer — Vice President
Period of report
Mar 1, 2016
Accepted (ET)
Oct 28, 2016 · 9:54 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001402737
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Oct 4, 2016 | A | 100,000 | $0.845 | A | 200,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock AwardF1,F2 | — | Sep 1, 2016 | J | 100,000 | D | — | — | Common Stock | 100,000 | 100,000 | D |
Explanation of responses
- F1On September 1, 2016, HCi Viocare (the "Issuer") approved the issuance of 200,000 common shares as compensation for services provided by the Reporting Person in the form of fully vested stock awards. The price is the closing bid of the stock on the date of the Grant Notice of March 1, 2016. The shares were issued on October 4, 2016.
- F2On March 1, 2016 (the "Grant Date"), the Issuer approved the grant of a stock award of 300,000 common shares as compensation for services provided by the Reporting Person. The awards vest as to 100,000 common shares on Grant Date; 100,000 common shares on the 6 month anniversary of Grant Date; and 100,000 common shares on the 12 month anniversary of Grant Date. The price is the closing bid of the Issuer's stock on the Grant Date.