SEC Form 4 · accession 0001093094-15-000005
Omnitek Engineering Corp · OMTK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
George G Chachas
Director
Period of report
Jan 26, 2015
Accepted (ET)
Feb 13, 2015 · 12:39 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001404804
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Jan 26, 2015 | G | 1,000 | $1.02 | D | 43,000 | I | Tuva Co., LLC |
| Common StockF3,F4,F2 | Jan 28, 2015 | A | 500 | $1.00 | A | 43,500 | I | Tuva Co., LLC |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantF5 | $2.68 | Feb 2, 2015 | G | 1,666 | A | Feb 15, 2012 | Feb 14, 2017 | Common Stock | 1,666 | 104,527 | D |
| WarrantF5 | $3.88 | Feb 2, 2015 | G | 7,861 | A | Apr 9, 2012 | Apr 8, 2017 | Common Stock | 7,861 | 104,527 | D |
| Warrant | $3.88 | holding | — | — | — | Apr 9, 2012 | Apr 8, 2017 | Common Stock | 20,000 | 95,000 | D |
| Option | $1.79 | holding | — | — | — | Aug 3, 2012 | Aug 2, 2017 | Common Stock | 25,000 | 95,000 | D |
| Option | $1.81 | holding | — | — | — | Aug 3, 2013 | Aug 2, 2018 | Common Stock | 25,000 | 95,000 | D |
| Option | $2.25 | holding | — | — | — | Aug 4, 2014 | Aug 4, 2019 | Common stock | 25,000 | 95,000 | D |
Explanation of responses
- F1Gift of 1,000 shares of common stock
- F2Mr. Chachas is a Manager and the principal owner of Tuva Co., LLC
- F3500 Shares issued at $1.00 per shares in lieu of $500 cash board fee.
- F4Tuva Co., LLC is the beneficial owner of 43,000 shares and Mr. Chachas is the beneficial owner of 500 shares.
- F5Received Warrants as a gift from an existing warrant holder