SEC Form 4 · accession 0001249155-17-000033
Beeline Holdings, Inc. · BLNE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mick Fleming
Director
Period of report
Apr 18, 2017
Accepted (ET)
Apr 19, 2017 · 4:27 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 Stock | Apr 18, 2017 | M | 13,888 | $1.80 | A | 38,888 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options (right to buy)F1,F3,F2 | $1.80 | Apr 18, 2017 | M | 13,888 | D | Oct 13, 2016 | Oct 13, 2026 | Common Stock | 13,888 | 21,121 | D |
Explanation of responses
- F1The exercise price and option numbers reflect a 20-for-1 reverse stock split that was made effective on October 18, 2016.
- F2The options vested on the following schedule: 5,000 options vested immediately, and thereafter, the balance of 30,000 options vested in equal monthly installments of 5,000, assuming continued service with the Issuer on each respective vesting date.
- F3The options were granted pursuant to the Issuer's 2016 Equity Incentive Plan.