SEC Form 4 · accession 0001493152-16-016266
DIGILITI MONEY GROUP, INC. · DGLT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James L Davis
Director
Period of report
Dec 22, 2016
Accepted (ET)
Dec 29, 2016 · 9:13 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001487906
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant to Purchase Common StockF1 | $4.94 | Dec 28, 2016 | A | 16,667 | A | Dec 28, 2016 | Dec 28, 2021 | Common Stock | 16,667 | 16,667 | D |
| Warrant to Purchase Common StockF2 | $5.55 | Dec 22, 2016 | A | 2,253 | A | Dec 22, 2016 | Dec 22, 2021 | Common Stock | 2,253 | 2,253 | D |
Explanation of responses
- F1Pursuant to a Note Payable agreement, dated February 11, 2016, amended March 29, 2016, and July 27, 2016, between the Issuer and the reporting person, the reporting person was issued warrants as pursuant to the terms of the Note Payable.
- F2Issued pursuant to a convertible promissory note. The exercise price of the warrants is the lower of $5.55 and 80% of the per share price of the Issuer's common stock in the Issuer's next underwritten public offering.