SEC Form 4 · accession 0001615774-16-004827

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

Officer — President, CEO · Director · 10% Owner

Period of report

Apr 4, 2016

Accepted (ET)

Apr 6, 2016 · 2:08 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	holding	—	—		—	12,787,500	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Series A Preferred Stock^F1	$0.15	Apr 4, 2016	A	185	A	Apr 4, 2016	—	Common Stock	1,233,334	1,233,334	D
Series A Preferred Stock^F1	$0.15	Apr 4, 2016	A	83	A	Apr 4, 2016	—	Common Stock	553,333	553,333	I
Warrants	$0.18	Apr 4, 2016	A	1,233,210	A	Apr 4, 2016	Apr 4, 2019	Common Stock	1,233,210	1,233,210	D
Warrants	$0.18	Apr 4, 2016	A	553,278	A	Apr 4, 2016	Apr 4, 2019	Common Stock	553,278	553,278	I