SEC Form 5 · accession 0001140361-17-003531
Enerpulse Technologies, Inc. · ENPT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Passaic River Capital LLC
10% Owner
Period of report
Dec 31, 2016
Accepted (ET)
Jan 30, 2017 · 7:47 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001495899
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 per share | Jul 27, 2016 | P | 8,867,567 | $0.0001 | A | 8,867,567 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Senior Secured Convertible Note | $0.01 | Jul 27, 2016 | P | 150,000 | A | Jul 27, 2016 | Jul 27, 2019 | Common Stock | 15,000,000 | 150,000 | D |