SEC Form 5/A · accession 0001607062-17-000250
MOBETIZE, CORP. · MPAY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 5/A). It replaces an earlier filing for the same period.
Reporting owner
Malek Ladki
Director · 10% Owner
Period of report
Mar 31, 2017
Accepted (ET)
Aug 2, 2017 · 7:26 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 | Jun 18, 2014 | A | 1,200 | — | A | 17,200 | I | Spouse |
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 | $60.00 | Oct 1, 2015 | A | 125 | A | Apr 1, 2017 | Sep 30, 2020 | Common Stock | 125 | 5,125 | D |
Explanation of responses
- F1On July 11, 2017, the Issuer effected a 1/100 consolidation of its common stock. The numbers of common stock options and common stock disclosed herein all reflect said consolidation.
- F2On June 18, 2014, Malek Ladki's wife Liana Ladki was issued 1,200 shares of the Issuers common stock pursuant to an share exchange transaction in connection with an asset purchase agreement.
- F3Malik Ladki was granted 7,500 stock options pursuant to the Issuer's 2015 Stock Option Plan in connection with his service as a Director subject to a vesting schedule that vested 3,000 options on the date of grant, the remainder vesting on a monthly basis at 125 options per month until all 7,500 options vest on October 1, 2018, or are otherwise terminated.