SEC Form 4 · accession 0001477932-17-003637
MedWellAI, Inc. · MWAI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steve Rubakh
Officer — CEO · Director · 10% Owner
Period of report
Aug 1, 2017
Accepted (ET)
Aug 3, 2017 · 7:34 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001520118
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series B Preferred StockF1,F2 | — | Aug 1, 2017 | A | 30,000 | A | Aug 1, 2017 | — | Common Stock | 3,000,000 | 180,000 | D |
Explanation of responses
- F1Each share converts into 100 shares of Common Stock.
- F2N/A