SEC Form 4 · accession 0001249155-16-000069
Beeline Holdings, Inc. · BLNE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Grover T Wickersham
Officer — Chairman of the Board · Director · 10% Owner
Period of report
Sep 15, 2016
Accepted (ET)
Sep 19, 2016 · 9:12 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001534708
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 15, 2016 | P | 500,000 | $0.03 | A | 6,343,099 | I | By Employee Profit Sharing Plan |
| Common Stock | holding | — | — | — | 2,195,088 | D | ||
| Common StockF2,F3 | holding | — | — | — | 4,418,000 | I | By irrevocable trust | |
| Common StockF4 | holding | — | — | — | 373,328 | I | By charitable remainder trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The reporting person is the trustee of the Grover T. Wickersham P.C. Employees' Profit Sharing Plan (the "PSP"), which is the owner of the reported securities. The reporting person disclaims beneficial ownership of the securities owned by the PSP, except to the extent of his pecuniary interest in the PSP. The inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities for purposes of Section 16 or for any other purposes.
- F2Represents a correction of the transaction total and holdings total for the Lindsay Anne Wickersham 1999 Irrevocable Trust (the "Irrevocable Trust") for its purchase on June 10, 2016, which was originally reported on the reporting person's Form 4 filed on July 12, 2016.
- F3The reporting person is the trustee of the Irrevocable Trust, which is the owner of the reported securities. The reporting person disclaims beneficial ownership of the securities owned by the Irrevocable Trust. The inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
- F4The reporting person is a joint trustee and beneficiary of the Grover T. and Jill Z. Wickersham 2000 Charitable Remainder Trust (the "CRUT"), which is the owner of the reported securities. The reporting person disclaims beneficial ownership of the securities owned by the CRUT, except to the extent of his pecuniary interest therein. The inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities for purposes of Section 16 or for any other purposes.