SEC Form 4 · accession 0001615774-16-007320
Beeline Holdings, Inc. · BLNE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven Earles
Officer — President, CEO · Director · 10% Owner
Period of report
Jul 7, 2016
Accepted (ET)
Sep 22, 2016 · 4:26 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 | Jul 7, 2016 | A | 50,858 | $0.0693 | A | 12,838,358 | D | |
| Common StockF1 | Jul 7, 2016 | A | 22,817 | $0.0693 | A | 22,817 | I | By spouse |
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 StockF2 | $0.075 | holding | — | — | — | Apr 4, 2016 | — | Common Stock | 2,466,667 | 185 | D |
| Series A Preferred StockF2 | $0.075 | holding | — | — | — | Apr 4, 2016 | — | Common Stock | 1,106,666 | 83 | I |
| Warrants | $0.10 | holding | — | — | — | Apr 4, 2016 | Apr 4, 2019 | Common Stock | 2,466,420 | 2,466,420 | D |
| Warrants | $0.10 | holding | — | — | — | Apr 4, 2016 | Apr 4, 2019 | Common Stock | 1,106,556 | 1,106,556 | I |
Explanation of responses
- F1Shares received in respect of paid-in-kind dividend on Series A Preferred stock.
- F2Not applicable.