SEC Form 4 · accession 0001213900-15-004266
Vape Holdings, Inc. · VAPE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kyle J Tracey
Officer — Chief Executive Officer · Director · 10% Owner
Period of report
May 11, 2015
Accepted (ET)
Jun 2, 2015 · 9:22 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001455819
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | May 11, 2015 | D | 100,000 | — | D | 854,636 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OptionsF2 | $1.66 | May 11, 2015 | D | 190,000 | D | Jun 24, 2014 | Jun 24, 2024 | Common Stock | 190,000 | 675,000 | D |
Explanation of responses
- F1On May 11, 2015, pursuant to a Stock Surrender Agreement by and between Kyle Tracey and Vape Holdings, Inc. (the "Company"), Mr. Tracey agreed to surrender 100,000 shares of common stock of the Company held by him back to the Company.
- F2On May 11, 2015, Mr. Tracey agreed to surrender 190,000 options to purchase the Company's common stock with an exercise price of $1.66 per share (FMV on date of grant) back to the Company. Mr. Tracey still holds 175,000 options to purchase the Company's common stock at $0.70 per share (FMV on date of grant), subject to vesting restrictions as previously disclosed.