SEC Form 5 · accession 0001554795-16-000943
AIRWARE LABS CORP. · AIRW
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jessica L Smith
Officer — CFO, Secretary & Treasurer
Period of report
Sep 30, 2016
Accepted (ET)
Nov 15, 2016 · 12:26 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001500123
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 27, 2016 | A | 163,595 | $0.078 | A | 163,595 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OptionF2 | $0.15 | Mar 1, 2016 | A | 33,333 | A | Mar 1, 2017 | Mar 1, 2026 | Common Stock | 33,333 | 333,333 | D |
| OptionF2 | $0.15 | Mar 1, 2016 | A | 33,334 | A | Mar 1, 2018 | Mar 1, 2026 | Common Stock | 33,334 | 366,667 | D |
| OptionF2 | $0.15 | Mar 1, 2016 | A | 33,333 | A | Mar 1, 2019 | Mar 1, 2026 | Common Stock | 33,333 | 400,000 | D |
| Option | $0.11 | holding | — | — | — | Oct 4, 2014 | Oct 4, 2023 | Common Stock | 33,333 | 33,333 | D |
| Option | $0.11 | holding | — | — | — | Oct 4, 2015 | Oct 4, 2023 | Common Stock | 33,334 | 66,667 | D |
| Option | $0.11 | holding | — | — | — | Oct 4, 2016 | Oct 4, 2023 | Common Stock | 33,333 | 100,000 | D |
| Option | $0.30 | holding | — | — | — | Jan 25, 2014 | Jan 25, 2023 | Common Stock | 33,334 | 133,334 | D |
| Option | $0.30 | holding | — | — | — | Jan 25, 2015 | Jan 25, 2023 | Common Stock | 33,333 | 166,667 | D |
| Option | $0.30 | holding | — | — | — | Jan 25, 2016 | Jan 25, 2023 | Common Stock | 33,333 | 200,000 | D |
| Option | $0.25 | holding | — | — | — | Sep 5, 2015 | Sep 5, 2024 | Common Stock | 33,333 | 233,333 | D |
| Option | $0.25 | holding | — | — | — | Sep 5, 2016 | Sep 5, 2024 | Common Stock | 33,334 | 266,667 | D |
| Option | $0.25 | holding | — | — | — | Sep 5, 2017 | Sep 5, 2024 | Common Stock | 33,333 | 300,000 | D |
Explanation of responses
- F1Jessica Smith acquired 163,595 shares of common stock at a cost basis of $0.078 shares directly from the Issuer pursuant to a Debt Conversion Agreement dated September 26, 2016.
- F2The options were issued at a cost basis of $-- as additional consideration for services rendered to the corporation.