SEC Form 4 · accession 0001615774-16-004825
Beeline Holdings, Inc. · BLNE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Steve Shum
Officer — Chief Financial Officer
Period of report
Apr 4, 2016
Accepted (ET)
Apr 6, 2016 · 2:07 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001534708
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Preferred StockF1 | $0.15 | Apr 4, 2016 | A | 97 | A | Apr 4, 2016 | — | Common Stock | 646,667 | 646,667 | D |
| Warrants | $0.18 | Apr 4, 2016 | A | 646,602 | A | Apr 4, 2016 | Apr 4, 2019 | Common Stock | 646,602 | 646,602 | D |
| Stock Option | $0.45 | holding | — | — | — | Oct 1, 2015 | Oct 1, 2020 | Common Stock | 850,000 | 850,000 | D |
Explanation of responses
- F1N/A