SEC Form 4 · accession 0001493152-17-001139
Mama's Creations, Inc. · MAMA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven R. Burns
Director
Period of report
Oct 31, 2016
Accepted (ET)
Feb 6, 2017 · 4:48 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001520358
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Oct 31, 2016 | J | 29,713 | $0.488 | A | 1,108,842 | D | |
| Common Stock | Oct 31, 2016 | J | 2,222 | $0.45 | A | 1,111,064 | D | |
| Series A Preferred Stock | holding | — | — | — | 500 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant | $1.00 | Nov 20, 2015 | A | 74,074 | A | Nov 20, 2015 | Nov 19, 2020 | Common Stock | 74,074 | 74,074 | D |
| Warrant | $1.50 | Nov 20, 2015 | J | 33,333 | A | Nov 20, 2015 | Nov 19, 2020 | Common Stock | 33,333 | 33,333 | D |
| Stock Option | $1.00 | Mar 5, 2012 | A | 47,871 | A | Mar 5, 2012 | Mar 5, 2017 | Common Stock | 47,871 | 47,871 | D |
| Stock Option | $1.00 | Apr 26, 2013 | A | 10,000 | A | Apr 26, 2013 | Apr 26, 2018 | Common Stock | 10,000 | 10,000 | D |
Explanation of responses
- F1Securities held in the name of Point Prospect, Inc. and Steven R. Burns.
- F2Mr. Burns was issued such shares in lieu of compensation for Director Fees for August-October 2016.
- F3Dividend issued on Series A Preferred Stock