SEC Form 5 · accession 0001354488-15-003136
MoneyOnMobile, Inc. · MOMT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Laird Q Cagan
Director
Period of report
Mar 31, 2015
Accepted (ET)
Jun 25, 2015 · 2:09 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001414628
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | holding | — | — | — | 1,640,000 | I | Wells Fargo Roth IRA Custodian for Laird Q. Cagan | |
| Common StockF2 | holding | — | — | — | 1,184,000 | I | Wells Fargo Roth IRA Custodian for Sherry Cagan | |
| Common StockF3 | holding | — | — | — | 16,000 | I | The Cagan-Wolfenbarger Family Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock Warrant (Right to Buy)F4,F5 | $1.00 | holding | — | — | — | Jul 29, 2011 | Jul 29, 2016 | Common Stock | 500,000 | 500,000 | I |
| Common Stock Warrant (Right to Buy)F5 | $2.00 | holding | — | — | — | Aug 7, 2012 | Aug 7, 2017 | Common Stock | 71,233 | 571,233 | I |
| Common Stock Warrant (Right to Buy)F5 | $0.01 | holding | — | — | — | Dec 31, 2014 | Dec 31, 2017 | Common Stock | 200,000 | 771,233 | I |
| Common Stock Warrant (Right to Buy)F6 | $1.00 | holding | — | — | — | Aug 5, 2010 | Aug 4, 2015 | Common Stock | 16,563 | 16,563 | D |
| Common Stock Warrant (Right to Buy)F6 | $1.00 | holding | — | — | — | Sep 30, 2010 | Sep 30, 2015 | Common Stock | 63 | 16,626 | D |
| Common Stock Warrant (Right to Buy)F7 | $0.01 | holding | — | — | — | Feb 18, 2014 | Feb 18, 2019 | Common Stock | 100,000 | 100,000 | D |
| Common Stock Warrant (Right to Buy)F7 | $0.01 | holding | — | — | — | May 9, 2014 | May 9, 2019 | Common Stock | 25,000 | 125,000 | D |
| Common StockF7 | $0.01 | holding | — | — | — | Aug 19, 2014 | Aug 19, 2019 | Common Stock | 25,000 | 150,000 | D |
| Common StockF7 | $0.01 | holding | — | — | — | Nov 19, 2014 | Nov 19, 2019 | Common Stock | 25,000 | 175,000 | D |
Explanation of responses
- F1Reporting Person's holding includes 1,640,000 shares issued pursuant to Founder's stock.
- F2Sherry Cagan is the spouse of Reporting Person. Mrs. Cagan's IRA is joint property of, and beneficially held by, Reporting Person. Mrs. Cagan has sole voting control over the IRA.
- F3Mrs. Cagan transferred 16,000 shares from her IRA to "The Cagan-Wolfenbarger Family Trust" (The Family Trust), which is beneficially held and jointly owned by Reporting Person. The Cagan's share joint voting on The Family Trust.
- F4Cagan Capital, LLC is an entity owned and controlled by Laird Cagan.
- F5Warrants issued pursuant to 2011 $3M Subordinated Promissory Note financing.
- F6Placement warrants issued pursuant to Series A financing.
- F7Warrants issued pursuant to CRA senior secured promissory notes.