SEC Form 4 · accession 0001249155-18-000017
Beeline Holdings, Inc. · BLNE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jack N Peterson
Director
Period of report
Jan 11, 2018
Accepted (ET)
Jan 16, 2018 · 1:29 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 StockF2 | Jan 11, 2018 | J | 10,025 | $3.99 | A | 43,359 | I | By Sandstrom Partners, Inc. |
| Common Stock | holding | — | — | — | 9,400 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F3 | $3.99 | Jan 11, 2018 | A | 7,500 | A | Mar 31, 2018 | Jan 11, 2028 | Common Stock | 7,500 | 7,500 | D |
Explanation of responses
- F1The shares were issued for services rendered to the Issuer.
- F2The reporting person is the President of Sandstrom Partners, Inc. He disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. The inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
- F3The options vest in four quarterly installments of 1,875 shares, commencing on March 31, 2018, and continuing thereafter on the last day of each succeeding quarter to and including December 31, 2018, subject to continued service with the Issuer on each respective vesting date.