SEC Form 4 · accession 0001582945-18-000002
Freeze Tag, Inc. · FRZT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert Don Vardeman Jr.
Officer — President · Director · 10% Owner
Period of report
Oct 18, 2017
Accepted (ET)
Feb 23, 2018 · 3:51 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001485074
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series C Convertible Preferred StockF3,F1,F2 | — | Oct 18, 2017 | A | 2,659,128 | A | Oct 18, 2017 | — | Common Stock | 132,956,400 | 2,659,128 | D |
Explanation of responses
- F1The Issuer's Series C Convertible Preferred Stock does not have an exercise or conversion price.
- F2The Issuer's Series C Preferred Stock does not have an expiration date.
- F3The shares of Series C Preferred Stock were issued to the Reporting Person as a result of the close of the Merger transaction between the Issuer and Munzee, Inc.