SEC Form 4 · accession 0001493152-16-013771
BARFRESH FOOD GROUP INC. · BRFH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven Lang
Director · 10% Owner
Period of report
Sep 28, 2016
Accepted (ET)
Sep 30, 2016 · 8:11 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001487197
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stockF1,F2,F3 | Sep 28, 2016 | P$0 | 88,164 | — | A | 19,054,828 | I | See Footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| "J" WarrantF1,F3 | $0.75 | Sep 28, 2016 | P | 44,082 | A | Sep 28, 2016 | Sep 28, 2021 | common stock | 44,082 | 44,082 | I |
Explanation of responses
- F1One share of common stock and 1/2 "J" warrant purchased as part of a unit at a $0.64 per unit for aggregate purchase price of $56,424.68.
- F2Does not include 200,000 shares held directly by the Reporting Person.
- F3Shares are owned directly by Sidra Pty. The Reporting Person is deemed beneficial owner of these shares.