SEC Form 4 · accession 0001213900-15-007922
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
Period of report
Oct 22, 2015
Accepted (ET)
Oct 26, 2015 · 5:08 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 | Oct 22, 2015 | A | 2,083,333 | $0.024 | A | 2,937,969 | D | |
| Common StockF2 | Oct 22, 2015 | D | 130,000 | — | D | 2,807,969 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF3 | $0.70 | Oct 22, 2015 | D | 175,000 | D | Dec 22, 2014 | Dec 22, 2024 | Common Stock | 175,000 | 500,000 | D |
Explanation of responses
- F1On October 22, 2015, Mr. Kyle Tracey was issued 2,083,333 shares of Vape Holdings, Inc. (the "Company") common stock by the Board of Directors of the Company (the "Board"), valued at $0.024 per share (FMV on date of grant), as compensation for accrued but unpaid salary of $50,000.00 through September 30, 2015.
- F2On October 22, 2015, pursuant to a Stock Surrender Agreement by and between Kyle Tracey and the Company, Mr. Tracey agreed to surrender 130,000 shares of common stock of the Company held by him back to the Company.
- F3On October 22, 2015, Mr. Tracey agreed to surrender 175,000 options to purchase the Company's common stock with an exercise price of $0.70 per share (FMV on date of grant) back to the Company. The Board cancelled and terminated the 2014 Incentive and Nonstatutory Stock Option Plan following all optionholders voluntarily agreeing to surrender their stock options.