SEC Form 4 · accession 0001493152-15-002268
Mama's Creations, Inc. · MAMA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Alfred D'Agostino
Director
Period of report
May 22, 2015
Accepted (ET)
May 27, 2015 · 4:55 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001520358
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible DebentureF2,F1 | $1.50 | May 22, 2015 | A | 1 | A | May 22, 2015 | Jul 22, 2016 | Common Stock | 33,334 | 1 | I |
Explanation of responses
- F1Subject to adjustment.
- F2Security held by Alfred D'Agostino Revocable Living Trust Dated November 6, 2009.