SEC Form 4 · accession 0001588923-17-000001
MoneyOnMobile, Inc. · MOMT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Scott S Arey
Officer — Chief Financial Officer
Period of report
May 1, 2017
Accepted (ET)
Jun 23, 2017 · 5:48 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 | — | — | — | 33,334 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Incentive Stock Option (Right to Buy)F2 | $0.34 | May 1, 2017 | A | 500,000 | A | May 1, 2017 | May 1, 2027 | Common Stock | 500,000 | 500,000 | D |
| Incentive Stock Option (Right to Buy) | $0.50 | holding | — | — | — | Dec 31, 2015 | Dec 31, 2025 | Common Stock | 500,000 | 500,000 | D |
| Common Stock Warrant (Right to Buy) | $2.00 | holding | — | — | — | Nov 29, 2013 | Nov 29, 2018 | Common Stock | 25,000 | 25,000 | D |
| Incentive Stock Option (Right to Buy) | $1.35 | holding | — | — | — | Oct 3, 2013 | Oct 3, 2023 | Common Stock | 400,000 | 400,000 | D |
Explanation of responses
- F1Reporting Person's holdings include 33,334 shares of common stock issued pursuant to a $1M 2013 PIPE financing.
- F2Incentive Stock Option granted to Reporting Person pursuant to Issuer's 2011 Equity Incentive Plan with vesting as follows: options are fully vested as of 5/1/17, subject to lockup restrictions where 25% of the shares outstanding will be released upon the 12-month anniversary of grant date.