SEC Form 4 · accession 0001647488-15-000194
ALKAME HOLDINGS, INC. · ALKM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert Eakle
Officer — CEO, CFO, President · Director · 10% Owner
Period of report
Nov 25, 2015
Accepted (ET)
Dec 4, 2015 · 2:25 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001522165
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Series D Preferred Stock | Nov 25, 2015 | A | 1,000,000 | $0.00 | A | 1,000,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series D Preferred StockF1,F2 | — | Nov 25, 2015 | A | 1,000,000 | A | Nov 25, 2015 | — | Common Stock, $0.001 par value | 10,000,000 | 10,000,000 | D |
Explanation of responses
- F1The conversion ratio is 10/1. Includes 1,000,000 shares of Series D Preferred Stock that may be converted into 10,000,000 shares of common stock.
- F2No expiration date.