SEC Form 4 · accession 0001654954-18-014276
PREMIER BIOMEDICAL INC · BIEI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William A. Hartman
Officer — CEO and President · Director
Period of report
Dec 20, 2018
Accepted (ET)
Dec 26, 2018 · 1:40 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 | — | — | — | 80,000 | 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) | $0.09 | Dec 20, 2018 | A | 842,000 | A | Dec 20, 2018 | Dec 20, 2025 | Common Stock | 842,000 | 842,000 | D |
| Warrant (right to buy) | $1.25 | holding | — | — | — | Dec 22, 2017 | Dec 22, 2024 | Common Stock | 34,000 | 34,000 | D |
| Warrant (right to buy) | $362.50 | holding | — | — | — | Jun 15, 2013 | Sep 28, 2019 | Common Stock | 200 | 200 | D |
| Warrant (right to buy) | $362.50 | holding | — | — | — | Jun 15, 2013 | Sep 28, 2019 | Common Stock | 420 | 420 | D |
| Warrant (right to buy) | $62.50 | holding | — | — | — | Jun 15, 2015 | Nov 18, 2021 | Common Stock | 64,000 | 64,000 | D |
| Warrant (right to buy) | $12.50 | holding | — | — | — | Oct 7, 2015 | Oct 7, 2025 | Common Stock | 4,000 | 4,000 | D |