SEC Form 4 · accession 0001493152-17-012733
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
Nov 6, 2017
Accepted (ET)
Nov 9, 2017 · 5:46 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 | Nov 6, 2017 | A | 15,000 | $1.38 | A | 1,241,541 | D | |
| Common StockF1 | Oct 31, 2017 | J | 10,874 | $1.1036 | A | 1,252,415 | 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 | Apr 26, 2013 | A | 10,000 | A | Apr 26, 2013 | Apr 26, 2018 | Common Stock | 10,000 | 10,000 | D |
| Stock OptionF4 | $1.05 | Jun 28, 2017 | A | 25,000 | A | — | Jun 27, 2020 | Common Stock | 25,000 | 25,000 | 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 consultation services rendered.
- F3Services rendered as lead director of the company
- F4Exercisable 8/1/2017, 11/1/2017, 2/1/2018 and 5/1/2018, respectively