SEC Form 4 · accession 0001019056-15-000905
Synergy CHC Corp. · SNYR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Knight Therapeutics (Barbados) Inc.
10% Owner
Period of report
Nov 12, 2015
Accepted (ET)
Nov 16, 2015 · 4:12 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001562733
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Nov 12, 2015 | J | 5,550,625 | $0.00 | A | 10,145,812 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants | $0.49 | Nov 12, 2015 | J | 1 | A | Nov 12, 2015 | Nov 12, 2025 | Common Shares | 4,547,243 | 8,132,002 | D |
Explanation of responses
- F1The shares of common stock were acquired upon the exercise of a warrant issued to the Reporting Person on November 12, 2015 for $1.00.
- F2The warrants were acquired by the Reporting Person in conjunction with the issuance of a debenture by the Reporting Person to the Issuer.