SEC Form 4 · accession 0001213900-17-001033
XTI Aerospace, Inc. · XTIA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tanveer Khader
Director
Period of report
Feb 3, 2017
Accepted (ET)
Feb 7, 2017 · 3:28 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001529113
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 3, 2017 | A | 10,000 | — | A | 50,000 | D | |
| Common StockF2 | holding | — | — | — | 2,168,018 | I | By SyHolding Corporation |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-qualified Stock Option (Right to Buy Common Stock)F4,F3 | $0.26 | Feb 3, 2017 | A | 20,000 | A | — | Feb 3, 2027 | Common Stock | 20,000 | 20,000 | D |
Explanation of responses
- F1The reporting person is a participant in the issuer's Amended and Restated 2011 Employee Stock Incentive Plan, as amended from time to time. Represents a fully vested restricted stock award granted for services by the reporting person as a member of the board of directors pursuant to a Restricted Stock Award Agreement dated February 3, 2017.
- F2The reporting person is the Treasurer of SyHolding Corporation ("SyHolding"). The reporting person disclaims beneficial ownership of the shares of the issuer's common stock owned by SyHolding except to the extent of his pecuniary interest therein.
- F3The stock options vest 1/48th each month starting from the grant date.
- F4The reporting person is a participant in the issuer's Amended and Restated 2011 Employee Stock Incentive Plan, as amended from time to time.