SEC Form 4 · accession 0001493152-17-001197
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
Jan 31, 2017
Accepted (ET)
Feb 7, 2017 · 2:32 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 | Jan 31, 2017 | J | 4,098 | $0.61 | A | 736,376 | D | |
| Common StockF1 | Jan 31, 2017 | J | 1,538 | $0.65 | A | 737,914 | 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 | 25,372 | A | Mar 5, 2012 | Mar 5, 2017 | Common Stock | 25,372 | 25,372 | 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 by Alfred D'Agostino and Alfred D'Agostino Revocable Living Trust 11/6/09.
- F2Mr. D'Agostino was issued such shares in lieu of compensation for Director Fees for November 2016-January 2017
- F3Dividend issued On Series A Preferred Stock