SEC Form 4 · accession 0001249155-17-000008
Beeline Holdings, Inc. · BLNE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Melissa Heim
Officer — EVP Ops & Master Distiller
Period of report
Dec 31, 2016
Accepted (ET)
Jan 4, 2017 · 9:51 pm EST
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 Stock | Dec 31, 2016 | M | 15,152 | $0.00 | A | 19,903 | D | |
| Common Stock | Dec 31, 2016 | F | 4,899 | $1.98 | D | 15,004 | D | |
| Common Stock | holding | — | — | — | 164 | I | By spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee stock option (right to buy)F3,F2 | $1.98 | Dec 31, 2016 | A | 10,000 | A | Jan 31, 2017 | Dec 31, 2026 | Common Stock | 10,000 | 10,000 | D |
Explanation of responses
- F1Represents the conversion upon vesting of restricted stock units ("RSUs") into common stock. On December 31, 2016, the reporting person was granted 15,152 RSUs that were immediate vested and converted to common stock.
- F2The options vest in 12 quarterly installments over three years, commencing on January 31, 2017 and continuing thereafter on the last day of each succeeding fiscal quarter to and including October 31, 2019, subject to continued service with the Issuer on the respective vesting date. Of the quarterly vesting installments, 11 will vest an aggregate of 833 options, and the 12th installment will vest an aggregate of 837 options.
- F3The RSUs and options were granted pursuant to the Issuer's 2016 Equity Incentive Plan.