SEC Form 4 · accession 0000891839-16-000266
Propanc Health Group Corp · PPCB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James Andrew Nathanielsz
Officer — CEO, CFO, Secretary, Treasurer · Director
Period of report
Feb 4, 2015
Accepted (ET)
Sep 27, 2016 · 4:39 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001517681
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.001F1 | Feb 4, 2015 | J | 33,259,350 | — | A | 42,711,111 | I | North Horizon Investments Pty Ltd. as Trustee for Nathanielsz Family Trust |
| Series A Preferred Stock, par value $0.01 | holding | — | — | — | 500,000 | D | ||
| Series B Preferred Stock, par value $0.01 | holding | — | — | — | 1 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F2 | $0.03 | Apr 14, 2016 | A | 71,500,000 | A | — | Apr 14, 2021 | Common Stock, par value $0.001 | 71,500,000 | 71,500,000 | D |
Explanation of responses
- F1These shares were issued to Mr. Nathanielsz pursuant to a Debt Settlement Agreement with the Issuer dated 2/4/15 in satisfaction of approximately $33,259 due to him in connection with certain non-interest bearing loans.
- F2This option vests as follows: 23,833,333 shares on 4/14/16, 23,833,333 shares on 4/14/17 and 23,833,334 shares on 4/14/18.