SEC Form 4 · accession 0001213900-15-004268
Vape Holdings, Inc. · VAPE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Cook
Other
Period of report
May 11, 2015
Accepted (ET)
Jun 2, 2015 · 9:23 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001455819
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OptionsF1,F2 | $1.66 | May 11, 2015 | D | 100,000 | D | Jun 24, 2014 | Jun 24, 2024 | Common Stock | 100,000 | 25,000 | D |
Explanation of responses
- F1On May 11, 2015, Mr. Cook agreed to surrender 100,000 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. Cook still holds 25,000 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.
- F2On a previous Form 4 filed December 24, 2014, Mr. Cook erroneously reported the acquisition of 175,000 options. Mr. Cook was actually granted only 25,000 options. As a result of the surrender disclosed herein and the correction of the erroneous reporting, Mr. Cook now beneficially owns only 25,000 options representing all derivative securities currently held by him.
Remarks
On May 11, 2015, the Board of Directors (the "Board") of Vape Holdings, Inc. (the "Company") reassigned Michael Cook from his current position of Director of Business Development to HIVE Sales and Product Development Manager. In doing so, the Board determined that Mr. Cook's new position does not meet the definition of "Executive Officer" under SEC Rules. Therefore, Mr. Cook has checked the box on this Form 4 exiting his status as a beneficial ownership filer subject to Section 16 filing requirements.