SEC Form 4 · accession 0001004878-16-000570
AmeriCann, Inc. · ACAN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Timothy Ryan Keogh
Officer — Chief Executive Officer
Period of report
Nov 7, 2016
Accepted (ET)
Dec 27, 2016 · 7:41 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001508348
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Nov 7, 2016 | A | 5,000 | $1.00 | A | 1,205,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant | $3.00 | Nov 7, 2016 | A | 5,000 | A | Nov 7, 2016 | Nov 4, 2020 | Common Stock | 5,000 | 1,205,000 | D |