SEC Form 4 · accession 0001615774-16-008104
Beeline Holdings, Inc. · BLNE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Period of report
Nov 4, 2016
Accepted (ET)
Nov 8, 2016 · 4:40 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 Stock | Nov 4, 2016 | C | 38,666 | $1.50 | A | 39,464 | D |
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 | $1.50 | Nov 4, 2016 | C | 58 | D | Apr 4, 2016 | — | Common Stock | 38,666 | 0 | D |
| WarrantsF2 | $2.00 | Nov 4, 2016 | D | 38,662 | D | Apr 4, 2016 | Apr 4, 2019 | Common Stock | 38,662 | 0 | D |
| Stock OptionF3 | $37.00 | holding | — | — | — | Feb 6, 2015 | Feb 4, 2017 | Common Stock | 10,000 | 10,000 | D |
Explanation of responses
- F1Not applicable.
- F2The warrants were cancelled and returned to the Issuer.
- F3Mr. Kunkel resigned as an officer on November 4, 2016. Pursuant to the terms of the 2015 Stock Incentive Plan under which the option was granted, the option expires 3-months after such resignation.