SEC Form 4 · accession 0001477932-18-000122
PREMIER BIOMEDICAL INC · BIEI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patricio F Reyes
Officer — Chief Technical Officer · Director
Period of report
Dec 22, 2017
Accepted (ET)
Jan 9, 2018 · 9:59 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001515740
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 120,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant (right to buy) | $0.005 | Dec 22, 2017 | A | 4,000,000 | A | Dec 22, 2017 | Dec 22, 2024 | Common Stock | 4,000,000 | 4,000,000 | D |
| Warrant (right to buy) | $0.25 | holding | — | — | — | Jun 15, 2015 | Nov 18, 2021 | Common Stock | 700,000 | 700,000 | D |
| Warrant (right to buy) | $0.05 | holding | — | — | — | Dec 15, 2016 | Oct 7, 2025 | Common Stock | 350,000 | 350,000 | D |