SEC Form 4 · accession 0001686895-17-000002
FISION Corp · FSSN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jason William Mitzo
Officer — cro
Period of report
Sep 30, 2017
Accepted (ET)
Nov 7, 2017 · 2:10 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001487931
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 30, 2017 | A | 500,000 | $0.14 | A | 500,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock OptionF1,F2 | $0.35 | Sep 1, 2017 | A | 1,000,000 | A | Sep 1, 2017 | Aug 31, 2021 | Common Stock | 1,000,000 | 1,327,500 | D |
Explanation of responses
- F1Performance shares earned from the incentive plan.
- F2Stock options granted pursuant to an incentive plan. 375,000 shares vested with remaining 625,000 shares to vest quarterly over 4 years.