SEC Form 4/A · accession 0001019687-15-000609
ScripsAmerica, Inc. · SCRC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Jeff Andrews
Officer — Chief Financial Officer
Period of report
Dec 3, 2014
Accepted (ET)
Feb 17, 2015 · 11:39 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001521476
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 3, 2014 | A | 4,000 | $0.00 | A | 3,788,000 | D | |
| Common Stock | holding | — | — | — | 150,000 | I | By Wife |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionF1 | $0.121 | Dec 9, 2014 | A | 10,000 | A | Dec 3, 2014 | Dec 3, 2017 | Common Stock | 10,000 | 10,000 | D |
Explanation of responses
- F1Grant of stock option to the Reporting Person for his attendance at board and/or committee meetings.
Remarks
Form is being amended to correct Table I, Box 5.