SEC Form 4 · accession 0001096906-18-000654
BlackRidge Technology International, Inc. · BRTI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brent Bunger
Director
Period of report
May 4, 2018
Accepted (ET)
Nov 19, 2018 · 7:02 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001456212
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 28, 2018 | A | 142,810 | $0.35 | A | 142,810 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant to Purchase Common StockF2 | $0.25 | May 4, 2018 | P | 156,250 | A | May 4, 2018 | May 4, 2023 | Common Stock | 156,250 | 156,250 | D |
Explanation of responses
- F1On September 28, 2018, the issuer issued restricted common stock, par value $0.0001 per share, to Mr. Bunger in lieu of cash payment of deferred wages and compensation at $0.35 per share for his service as a director on the board of directors of the issuer.
- F2On May 4, 2018, Mr. Bunger purchased a convertible note in the principal amount of $39,062, plus interest accruing at a rate of { }%, convertible to shares of the issuer's Series B Preferred Stock, par value $0.0001 per share. In conjunction with this note, the issuer issued Mr. Bunger a 5 year warrant to purchase 156,250 shares of common stock of the issuer, par value $0.0001 per share.