SEC Form 4/A · accession 0001599807-17-000003
BlackRidge Technology International, Inc. · BRTI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
John B Hofman
Other
Period of report
Feb 22, 2017
Accepted (ET)
Feb 28, 2017 · 12:59 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 Stock, Par Value $0.001 | Feb 22, 2017 | D | 7,000,000 | $0.00 | D | 1,000,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant | $0.70 | Feb 22, 2017 | A | 500,000 | A | Feb 14, 2018 | Feb 13, 2022 | Common Stock, Par Value $0.001 | 500,000 | 500,000 | D |
Explanation of responses
- F1Pursuant to an agreement and plan of reorganization, and approval by the board of directors of the issuer, the reporting person returned to the issuer for cancellation 7,000,000 shares of Common Stock and was issued warrants to acquire 500,000 shares of Common Stock at a price of $0.70 per share during the period from 02/14/2018 through 02/13/2022.
Remarks
The original Form 4 filed on February 24, 2017 is amended to correct Table II to indicate the reporting person's acquisition of 500,000 derivative securities. On 02/22/2017, the reporting person resigned as an officer and resigned as a director effective immediately following the expiration of the 10-day period following the filing and mailing of Form 14f-1.