SEC Form 4 · accession 0001615774-16-007657
Beeline Holdings, Inc. · BLNE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Samuel Jay Harkins
Officer — Executive VP, Sales · Director
Period of report
Oct 13, 2016
Accepted (ET)
Oct 18, 2016 · 4:38 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Incentive Stock Option (right to buy)F2,F1 | $0.09 | Oct 13, 2016 | A | 3,000,000 | A | Oct 13, 2016 | Oct 13, 2026 | Common Stock | 3,000,000 | 3,000,000 | D |
| Restricted Stock UnitsF5,F3,F4 | — | Oct 13, 2016 | A | 1,111,111 | A | — | — | Common Stock | 1,111,111 | 1,111,111 | D |
Explanation of responses
- F1The Incentive Stock Options vest quarterly for three years, commencing on October 1, 2016 and the first of each quarter thereafter.
- F2The options were issued pursuant to the Issuer's 2016 Equity Incentive Plan.
- F3Each Restricted Stock Unit (RSU) represents a contingent right to receive one share of the Issuer's common stock upon vesting of the unit.
- F4These RSUs are scheduled to vest as follows: (i) 555,556 shares were vested upon the grant date; (ii) 277,778 shares will vest on January 1, 2017; and (iii) 277,777 shares will vest on April 1, 2017.
- F5The RSUs were issued pursuant to the Issuer's 2016 Equity Incentive Plan.