SEC Form 5 · accession 0001211524-16-000212
MOBETIZE, CORP. · MPAY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ajay Hans
Officer — CHIEF EXECUTIVE OFFICER · Director · 10% Owner
Period of report
Mar 31, 2016
Accepted (ET)
May 13, 2016 · 1:48 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001546679
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| COMMON STOCKF1,F2 | Feb 4, 2016 | J | 4,565,000 | $0.00 | D | 4,081,481 | I | ALLIGATO, INC. |
| SERIES A PREFERRED STOCKF1 | Feb 4, 2016 | J | 4,565,000 | $0.00 | A | 4,565,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMON STOCK OPTIONSF3 | $0.60 | Oct 1, 2015 | A | 150,000 | A | Oct 1, 2015 | Sep 30, 2020 | COMMON STOCK | 150,000 | 150,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Nov 1, 2015 | Sep 30, 2020 | COMMON STOCK | 10,000 | 160,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Dec 1, 2015 | Sep 30, 2020 | COMMON STOCK | 10,000 | 170,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Jan 1, 2016 | Sep 30, 2020 | COMMON STOCK | 10,000 | 180,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Feb 1, 2016 | Sep 30, 2020 | COMMON STOCK | 10,000 | 190,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Mar 1, 2016 | Sep 30, 2020 | COMMON STOCK | 10,000 | 200,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Apr 1, 2016 | Sep 30, 2020 | COMMON STOCK | 10,000 | 210,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | May 1, 2016 | Sep 30, 2020 | COMMON STOCK | 10,000 | 220,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Jun 1, 2016 | Sep 30, 2020 | COMMON STOCK | 10,000 | 230,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Jul 1, 2016 | Sep 30, 2020 | COMMON STOCK | 10,000 | 240,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Aug 1, 2016 | Sep 30, 2020 | COMMON STOCK | 10,000 | 250,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Sep 1, 2016 | Sep 30, 2020 | COMMON STOCK | 10,000 | 260,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Oct 1, 2016 | Sep 30, 2020 | COMMON STOCK | 10,000 | 270,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Nov 1, 2016 | Sep 30, 2020 | COMMON STOCK | 10,000 | 280,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Dec 1, 2016 | Sep 30, 2020 | COMMON STOCK | 10,000 | 290,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Jan 1, 2017 | Sep 30, 2020 | COMMON STOCK | 10,000 | 300,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Feb 1, 2017 | Sep 30, 2020 | COMMON STOCK | 10,000 | 310,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Mar 1, 2017 | Sep 30, 2020 | COMMON STOCK | 10,000 | 320,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Apr 1, 2017 | Sep 30, 2020 | COMMON STOCK | 10,000 | 330,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | May 1, 2017 | Sep 30, 2020 | COMMON STOCK | 10,000 | 340,000 | D |
| COMMON STOCK OPTIONS | $0.60 | Oct 1, 2015 | A | 10,000 | A | Jun 1, 2017 | Sep 30, 2020 | COMMON STOCK | 10,000 | 350,000 | D |
Explanation of responses
- F1ON FEBRUARY 4, 2016 AJAY HANS ("HANS" EXCHANGED FOUR MILLION FIVE HUNDRED AND SIXTY FIVE THOUSAND (4,565,000) SHARES OF THE ISSUER'S COMMON STOCK FOR FOUR MILLION FIVE HUNDRED AND SIXTY FIVE THOUSAND (4,565,000) SHARES OF THE ISSUER'S SERIES A PREFERRED STOCK IN ACCORDANCE WITH SECTION 3(A)(9) OF THE SECURITIES ACT OF 1933, AS AMENDED.
- F2AJAY HANS IS THE PRINCIPAL SHAREHOLDER, OFFICER AND DIRECTOR OF ALLIGATO, INC.
- F3AJAY HANS WAS GRANTED THREE HUNDRED AND FIFTY THOUSAND (350,000) STOCK OPTIONS SUBJECT TO A VESTING SCHEDULE PURSUANT TO THE ISSUER'S STOCK OPTION PLAN.