SEC Form 5 · accession 0001615774-17-001686
LIFEAPPS BRANDS INC. · LFAP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lesly Ann Thompson
10% Owner
Period of report
Dec 31, 2016
Accepted (ET)
Apr 14, 2017 · 3:13 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001510247
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Oct 27, 2016 | J | 4,545,455 | $0.0055 | A | 4,545,455 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible loan evidenced in writing due April 5, 2017F2 | $0.0055 | Apr 5, 2016 | J | 2,981,818 | A | — | — | Common Stock | 2,981,818 | 2,981,818 | D |
Explanation of responses
- F1The reporting securities represent conversion of the reporting person's loan to the issuer in the principal amount of $25,000 into shares of common stock of the issuer.
- F2The convertible loan evidenced in writing, made by the reporting person to the issuer on April 5, 2016 in the principal amount of $15,000 bearing 10% interest rate per annum, is convertible into shares of common stock of the issuer at any time.