SEC Form 4 · accession 0001209191-15-030048
Enerpulse Technologies, Inc. · ENPT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael J Hammons
Other
Period of report
Feb 20, 2015
Accepted (ET)
Mar 27, 2015 · 8:17 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001495899
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6% Senior Secured Convertible NoteF2,F1 | $0.20 | Feb 20, 2015 | P | — | A | — | Feb 20, 2018 | Common Stock | 75,000 | — | D |
| Warrant (Right to Buy)F2,F3 | $0.20 | Feb 20, 2015 | P | 37,500 | A | — | Feb 20, 2020 | Common Stock | 37,500 | 37,500 | D |
Explanation of responses
- F1All amounts due under the 6% senior secured convertible note are convertible at any time, in whole or in part, at the option of the reporting person into shares of common stock at a fixed, initial conversion price of $0.20 per share, which is subject to adjustment for stock splits, stock dividends, combinations, or similar events or to prevent dillution.
- F2The note and warrant were purchased by the reporting person for the aggregate purchase price of $15,000.
- F3The warrant is exercisable at any time on or after the date of issuance at an initial exercise price equal to $0.20 per share, subject to adjustment for stock splits, stock dividends, combinations, or similar events or to prevent dillution.