SEC Form 4 · accession 0001213900-15-007912
Vape Holdings, Inc. · VAPE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Allan Viernes
Officer — Chief Financial Officer · Director
Period of report
Oct 22, 2015
Accepted (ET)
Oct 26, 2015 · 3:28 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 |
|---|---|---|---|---|---|---|---|---|
| CommonF1 | Oct 22, 2015 | A | 600,000 | $0.024 | A | 630,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF2 | $0.70 | Oct 22, 2015 | D | 175,000 | D | Dec 22, 2014 | Dec 22, 2024 | Common Stock | 175,000 | 0 | D |
Explanation of responses
- F1On October 22, 2015, Mr. Allan Viernes was issued 600,000 shares of restricted common stock of Vape Holdings, Inc. (the "Company") pursuant to a year-end bonus stock grant authorized by the Board of Directors (the "Board"). The stock issued to Mr. Viernes was valued at $0.024, the fair market value of the Company's common stock on the date of grant.
- F2On October 22, 2015, the Board formally accepted the option surrender of Mr. Viernes of 175,000 options granted on December 22, 2015 at an exercise price of $0.70. The Board cancelled and terminated the 2014 Incentive and Nonstatutory Stock Option Plan following all optionholders voluntarily agreeing to surrender their stock options.