SEC Form 4 · accession 0001140361-16-050440
Southern Concepts Restaurant Group, Inc. · RIBS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jay W Roth
10% Owner · Other
Period of report
Feb 3, 2016
Accepted (ET)
Feb 5, 2016 · 4:06 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001445918
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 3, 2016 | C | 2,000,000 | — | A | 2,182,427 | D | |
| Common StockF1,F2 | Feb 3, 2016 | C | 228,034 | — | A | 228,034 | I | See footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Preferred StockF1 | — | Feb 3, 2016 | C | 2,000,000 | D | — | — | Common Stock | 2,000,000 | 0 | D |
| Series A Preferred StockF1,F2 | — | Feb 3, 2016 | C | 228,034 | D | — | — | Common Stock | 228,034 | 0 | I |
Explanation of responses
- F1Conversion of shares of Series A Preferred Stock on a one-for-one basis to shares of Common Stock of the Issuer. The Series A Preferred Stock had no expiration date.
- F2By minor daughter.