SEC Form 5 · accession 0001594062-18-000023
Rafina Innovations Inc. · VICA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sotirios Leontaritis
Officer — CEO, Pres, CFO · Director · 10% Owner
Period of report
Dec 31, 2017
Accepted (ET)
Feb 1, 2018 · 3:48 pm EST
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 stock | holding | — | — | — | 142,710,562 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option | $0.30 | Jan 1, 2017 | A | 3,000,000 | A | Jan 1, 2017 | Dec 31, 2022 | Common Stock | 3,000,000 | 3,000,000 | D |
Explanation of responses
- F1The Reporting Person is entitled to acquire at his discretion 3,000,000 shares of the common stock at a price of $0.30 per share for a term of five (5) years from January 1, 2017.
Remarks
The Reporting Person resigned as Treasurer of the Issuer on December 18, 2017.