SEC Form 3 · accession 0001264931-17-000109
GRAND HAVANA INC. · GHAV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tanya Bredemeier
Officer — President · Director · 10% Owner
Period of report
Feb 7, 2017
Accepted (ET)
Dec 1, 2017 · 4:41 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001514113
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Shares | holding | — | — | — | 12,500,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A PreferredF1 | — | holding | — | — | — | Mar 14, 2017 | — | Common Shares | 25 | — | D |
Explanation of responses
- F1Each Series A preferred Share is convertible into a number of common shares equal 2% (two percent) of the number of issued and outstanding shares at the time of conversion. The conversion right has no expiration.