SEC Form 4 · accession 0001249155-17-000023
Beeline Holdings, Inc. · BLNE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Allen Barteld
Officer — President & CEO of Subsidiary
Period of report
Mar 8, 2017
Accepted (ET)
Mar 22, 2017 · 9:04 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 | Mar 8, 2017 | A | 260,000 | — | A | 260,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Options (right to buy)F3,F2 | $1.50 | Mar 20, 2017 | A | 250,000 | A | Jun 30, 2017 | Mar 20, 2027 | Common Stock | 250,000 | 250,000 | D |
Explanation of responses
- F1Received in exchange for 100% of the membership interests of Motherlode, LLC, an Oregon limited liability company. On the date of the transaction, the closing price of the Issuer's Common Stock was $1.45.
- F2The options vest and become exercisable in 20 quarterly installments over five years, commencing on June 30, 2017 and continuing thereafter on the last day of each succeeding fiscal quarter to and including March 31, 2022, subject to continued service with the Issuer on each respective vesting date.
- F3The options were granted pursuant to the Issuer's 2016 Equity Incentive Plan.