SEC Form 5 · accession 0001607062-18-000193
MOBETIZE, CORP. · MPAY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald Duberstein
Director · 10% Owner
Period of report
Mar 31, 2018
Accepted (ET)
Jun 15, 2018 · 6:12 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 |
|---|---|---|---|---|---|---|---|---|
| SERIES B PREFERRED STOCK | Aug 3, 2017 | A | 150,000 | $0.50 | A | 1,439,167 | D | |
| SERIES B PREFERRED STOCKF1 | Nov 17, 2017 | P | 1,000,000 | $0.01 | A | 2,419,167 | 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 OptionsF2,F3 | $60.00 | Oct 1, 2015 | A | 60 | A | Apr 1, 2018 | Sep 30, 2020 | Common Stock | 5 | 750 | D |
Explanation of responses
- F1On November 17, 2017, Don Duberstein purchased shares of Series B Preferred from Ajay Hans pursuant to the terms and conditions of an Option Agreement.
- F2On July 11, 2017, the Issuer effected a 1/100 consolidation of its common stock. The numbers of common stock options disclosed herein all reflect said consolidation.
- F3Donald Duberstein was granted 2,400 stock options on October 1, 2015, pursuant to the Issuera(euro)(TM)s 2015 Stock Option Plan in connection with his service as a Director. The stock options are exercisable at $60.00 per share subject to a vesting schedule of 600 on grant while the remainder vest on a monthly basis at 5 options per month until all are vested, or otherwise terminated.