SEC Form 4 · accession 0001493152-15-006134
Synergy CHC Corp. · SNYR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jack Ross
Officer — President & CEO · Director · 10% Owner
Period of report
Dec 4, 2015
Accepted (ET)
Dec 8, 2015 · 8:15 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, $0.00001 par value per shareF1 | Dec 4, 2015 | P | 7,936,850 | $0.025 | A | 44,053,100 | I | Gowan Private Equity Inc. |
| Common Stock, $0.00001 par value per shareF2 | holding | — | — | — | 3,208,649 | I | Dunhill Distribution Group, Inc. |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares of Common Stock are owned directly by Gowan Private Equity Inc., which is controlled by the Reporting Person. The Reporting Person is the indirect beneficial owner of the reported securities.
- F2The shares of Common Stock are owned directly by Dunhill Distribution Group, Inc., which is controlled by the Reporting Person. The Reporting Person is the indirect beneficial owner of the reported securities.